Organization · Type 2 NPI
Premise Health of New York Medical, P.c
Primary Care Clinic/Center · Lakewood, NY
NPI number
1093991598
Active
Practice location
4720 Baker Street Ext
Lakewood, NY 14750-9772
Fax (716) 456-2628
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1093991598
Premise Health of New York Medical, P.c's National Provider Identifier is 1093991598, issued on Jan 14, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lakewood, NY. The record was last updated on Aug 15, 2022.