PREMISE HEALTH OF NEW YORK MEDICAL P.C NPI 1942660469

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 1942660469. The provider is registered as an organization entity type.
The provider Is Doing Business As Hearst Wellness Center.

The provider's business location address is:

300 W 57TH ST
14TH FLOOR
NEW YORK, NY
ZIP 10019-741
Phone: (212) 649-2748
Fax: (212) 649-2739

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 33D1062602 - industrial with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2016 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:

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