Organization
PREMIUM HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEIR BRODY (CEO)
(718) 407-7300
Entity
Organization
Contact information
Practice address
620 FOSTER AVE STE 200, PREMIUM HEALTH INC, BROOKLYN, NY 11230-1389
(718) 407-7300
(718) 859-5717
Mailing address
620 FOSTER AVE, PREMIUM HEALTH, INC., BROOKLYN, NY 11230-1399
(718) 407-7300
(718) 859-5717
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
000000
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03824577
—
NY
Enumeration date
10/18/2012
Last updated
11/05/2025
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