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PREMISE HEALTH OF NEW YORK MEDICAL P.C NPI 1902248164


NPI Information

NPI: 1902248164
Provider Name: PREMISE HEALTH OF NEW YORK MEDICAL, P.C

Doing Business As: NEW YORK LIFE HEALTH CENTER

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 33D2171046

Address:
51 MADISON AVE
FLOOR 1B
NEW YORK, NY
ZIP 10010
Phone: (212) 576-8283
Get Directions

PREMISE HEALTH OF NEW YORK MEDICAL, P.C is a general practice in New York, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PREMISE HEALTH OF NEW YORK MEDICAL, P.C NPI is 1902248164. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As New York Life Health Center.

The provider's business location address is:

51 MADISON AVE
FLOOR 1B
NEW YORK, NY
ZIP 10010-603
Phone: (212) 576-8283
Fax: (212) 447-4225

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 33D2171046 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2013 and was last updated on 8/16/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.