Organization
PREMIRE PHYSICIANS OF NEW YORK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL D TERK MD (DIRECTOR)
(904) 309-8680
Entity
Organization
Contact information
Practice address
229 E 79TH ST, NEW YORK, NY 10075-0866
(212) 717-9500
(212) 717-9503
Mailing address
3599 UNIVERSITY BLVD S, SUITE 805, JACKSONVILLE, FL 32216-4252
(904) 309-8680
(904) 345-5841
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NY
Other
Enumeration date
10/29/2012
Last updated
06/10/2013
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