PREMISE HEALTH OF NEW YORK MEDICAL, P.C is a multi-specialty clinic center in Elma, NY. PREMISE HEALTH OF NEW YORK MEDICAL, P.C NPI is 1679057327. The provider is registered as an organization entity type.
The provider Is Doing Business As Moog Inhealth Wellness Center.
The provider's business location address is:
7060 SENECA ST
ELMA, NY
ZIP 14059-998
Phone: (716) 687-4000
Fax: (716) 687-7477
The provider's authorized official is Jonathan Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.
The CLIA number assigned to this NPI record is 33D2086089 - community clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/19/2018 and was last updated on 8/15/2022.