PREMISE HEALTH OF NEW YORK MEDICAL, P.C is a multi-specialty clinic center in New York, NY. PREMISE HEALTH OF NEW YORK MEDICAL, P.C NPI is 1275123028. The provider is registered as an organization entity type.
The provider Is Doing Business As Mutual Health Center New York.
The provider's business location address is:
200 LIBERTY ST FL 31
NEW YORK, NY
ZIP 10281-003
Phone: (212) 803-5525
Fax: (212) 504-3295
The provider's authorized official is Jon 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 33D2221938 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/25/2021 and was last updated on 8/15/2022.