Organization
PREMISE HEALTH OF NEW YORK MEDICAL, P.C
Active
Other names
Cummins Health Center-Jamestown
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
4720 BAKER STREET EXT, LAKEWOOD, NY 14750-9772
(716) 456-2334
(716) 456-2628
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2008
Last updated
08/15/2022
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