Organization
PREMIUM HEALTH INC
Active
Parent organization
PREMIUM HEALTH INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIUM HEALTH INC
Authorized official
GALINA HOOLIN (CREDENTIALING ADMINISTRATOR)
(718) 407-7300
Entity
Organization
Contact information
Practice address
1212 SEAGIRT BLVD, FAR ROCKAWAY, NY 11691-4551
(718) 407-7300
Mailing address
365 ROUTE 59, AIRMONT, NY 10952-3459
(718) 407-7300
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
05/15/2024
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