Organization · Type 2 NPI
Premise Health of New York Medical, P.c
General Practice Physician · New York, NY
NPI number
1033486568
Active
Practice location
240 Greenwich Street
New York, NY 10286-2550
Fax (212) 815-3352
Mailing address
5500 Maryland Way
Brentwood, TN 37027-7048
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 1033486568
Premise Health of New York Medical, P.c's National Provider Identifier is 1033486568, issued on Nov 29, 2011. 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 Jan 28, 2026.