Organization · Type 2 NPI
Premise Health of New York Medical PC
General Practice Physician · New York, NY
NPI number
1215229091
Active
Practice location
522 5th Ave, 16th Floor
New York, NY 10036-7601
Fax (212) 507-5881
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 1215229091
Premise Health of New York Medical PC's National Provider Identifier is 1215229091, issued on May 11, 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 Mar 9, 2026.