PREMISE HEALTH OF NEW YORK MEDICAL P.C NPI 1306265756

NPI Information

PREMISE HEALTH OF NEW YORK MEDICAL, P.C is a primary care clinic center in New York, NY. PREMISE HEALTH OF NEW YORK MEDICAL, P.C NPI is 1306265756. The provider is registered as an organization entity type.
The provider Is Doing Business As Goldman Sachs Health Cener- 200w.

The provider's business location address is:

200 WEST ST
NEW YORK, NY
ZIP 10282-198
Phone: (212) 357-6339
Fax: (646) 446-0375

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 33D1106006 - industrial with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/14/2014 and was last updated on 8/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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