Organization · Type 2 NPI

Premise Health of New York Medical PC

Clinic/Center · Liverpool, NY

NPI number 1104335371 Active

Practice location

497 Electronics Pkwy, EP7, G200
Liverpool, NY 13088-6062

Fax (315) 456-2551

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

About NPI 1104335371

Premise Health of New York Medical PC's National Provider Identifier is 1104335371, issued on Sep 20, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Liverpool, NY. The record was last updated on Feb 2, 2026.