Premise Health of New York Medical, P.c

NPI #1952995375 in Geneva, New York

Provider Information

NPI Number: 1952995375
Entity Type: Organization
Organization Name: Premise Health of New York Medical, P.c
Primary Specialty: Clinic/Center - Occupational Medicine
Enumeration Date: Feb 25, 2021
Last Updated: Aug 16, 2022

Practice Location

Address: 300 FORGE AVE
City: Geneva
State: New York
ZIP Code: 14456-1257
Phone: (315) 781-9355

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Occupational Medicine — Occupational Medicine	261QX0100X	Primary

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