PREMISE HEALTH OF NEW YORK MEDICAL P.C NPI 1952995375

NPI Information

PREMISE HEALTH OF NEW YORK MEDICAL, P.C is an occupational medicine clinic center in Geneva, NY. PREMISE HEALTH OF NEW YORK MEDICAL, P.C NPI is 1952995375. The provider is registered as an organization entity type.
The provider Is Doing Business As Henkel Geneva Health Center.

The provider's business location address is:

300 FORGE AVE
GENEVA, NY
ZIP 14456-257
Phone: (315) 781-9355
Fax: (315) 410-5626

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 33D2217305 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2021 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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