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Organization

PREMISE HEALTH OF NEW YORK MEDICAL, P.C

Active
Other names
Credit Suisse Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
JON LEIZMAN JR. M.D. (PRESIDENT)
(216) 479-9063
Entity
Organization

Contact information

Practice address
1 MADISON AVE # LEVEL2B, NEW YORK, NY 10010-3603
(212) 538-7770
(212) 538-7755
Mailing address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-4948
(212) 538-7770
(212) 538-7755

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
10/30/2013
Last updated
08/15/2022
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