Organization
PREMIER HEALTH LLC
Active
Organization
PREMIER HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIYA KOGAN (CEO)
(917) 566-5997
Entity
Organization
Contact information
Practice address
13 TOWN WEST RD STE B-3, PLYMOUTH, NH 03264-3428
(603) 945-8048
(603) 945-7110
Mailing address
461 MAIN ST STE 6C, FRANCONIA, NH 03580-4835
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
07/24/2018
Last updated
11/14/2023
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