Organization
PREMISE HEALTH OF NEW YORK MEDICAL, P.C
Active
Other names
Colgate - New York
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN MD (PRESIDENT)
(615) 468-6270
Entity
Organization
Contact information
Practice address
300 PARK AVE FL 7, NEW YORK, NY 10022-7412
(212) 310-2251
(212) 310-2605
Mailing address
5500 MARYLAND FARMS 120, BRENTWOOD, TN 37027
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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