Organization · Type 2 NPI
Premise Health of New York Medical PC
Multi-Specialty Clinic/Center · New York, NY
NPI number
1104594886
Active
Practice location
1 Columbus Cir
New York, NY 10019-8735
Fax (212) 797-0808
Mailing address
5500 Maryland Way
Brentwood, TN 37027-7048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1104594886
Premise Health of New York Medical PC's National Provider Identifier is 1104594886, issued on Aug 30, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in New York, NY. The record was last updated on Feb 2, 2026.