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Organization
PREMISE HEALTH OF NEW YORK MEDICAL, P.C
Active
Organization
PREMISE HEALTH OF NEW YORK MEDICAL, P.C
Active
Other names
Momentive Performance Materials
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LEIZMAN MD (PRESIDENT)
(615) 468-6270
Entity
Organization
Contact information
Practice address
260 HUDSON RIVER RD, WATERFORD, NY 12188-1910
(518) 233-2209
(518) 233-3747
Mailing address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-7048
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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