Premise Health of New York Medical, P.c

NPI #1093991598 in Lakewood, New York

Provider Information

NPI Number
1093991598
Entity Type
Organization
Organization Name
Premise Health of New York Medical, P.c
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jan 14, 2008
Last Updated
Aug 15, 2022

Practice Location

Address
4720 BAKER STREET EXT
ZIP Code
14750-9772
Phone
(716) 456-2334

Authorized Official

Name
DR. JON LEIZMAN, MD
Title
PRESIDENT
Phone
(216) 479-9063

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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