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Organization

PREMISE HEALTH OF NEW YORK MEDICAL, P.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JON LEIZMAN PA-C (PRESIDENT)
(216) 479-9063
Entity
Organization

Contact information

Practice address
1585 BROADWAY, 8TH FLOOR, NEW YORK, NY 10036-8200
(212) 761-7989
Mailing address
1585 BROADWAY, 8TH FLOOR, NEW YORK, NY 10036-8200
(212) 761-7989

Taxonomy

Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
008673
NY

Other

Enumeration date
06/16/2010
Last updated
08/15/2022
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