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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

Other

Enumeration date
08/16/2024
Last updated
08/16/2024
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