Premise Health of New York Medical, P.c

NPI #1710406939 in Owego, New York

Provider Information

NPI Number
1710406939
Entity Type
Organization
Organization Name
Premise Health of New York Medical, P.c
Primary Specialty
Clinic/Center
Enumeration Date
Sep 19, 2017
Last Updated
Aug 16, 2022

Practice Location

Address
1801 STATE ROUTE 17C
City
Owego
ZIP Code
13827-3900
Phone
(607) 751-3883

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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