Organization · Type 2 NPI
Premise Health of New York Medical PC
General Practice Physician · New York, NY
NPI number
1003123233
Active
Practice location
636 11th Ave
New York, NY 10036-2005
Fax (212) 956-0127
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1003123233
Premise Health of New York Medical PC's National Provider Identifier is 1003123233, issued on Sep 9, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in New York, NY. The record was last updated on Mar 12, 2026.