PREMISE HEALTH OF NEW YORK MEDICAL P.C NPI 1447758610

NPI Information

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 1447758610. The provider is registered as an organization entity type.
The provider Is Doing Business As Blackrock Health & Wellness Center.

The provider's business location address is:

55 E 52ND ST
NEW YORK, NY
ZIP 10055-002
Phone: (646) 310-0800
Fax: (646) 310-0810

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (615) 468-6270.

The CLIA number assigned to this NPI record is 33D2271765 - industrial with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2018 and was last updated on 2/6/2023.

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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