Organization · Type 2 NPI

Premise Health of New York Medical, P.c

Occupational Medicine Clinic/Center · Endicott, NY

NPI number 1629661889 Active

Practice location

1301 North Street
Endicott, NY 13760

Call (607) 770-2081 Map

Fax (607) 770-3355

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

Taxonomy	Code	License
Occupational Medicine Clinic/Center Primary	261QX0100X	None listed

Occupational Medicine Clinic/Center: Definition to come...

NPI record

NPI: 1629661889
Entity type: Organization (Type 2)
Issued: Feb 18, 2021
Last updated: Aug 16, 2022
Status: Active

Other names

<unavail>
Bae Systems Endicott Ny · doing business as
Bae Systems Endicott Ny · doing business as

Authorized official

Dr. Jon Leizman, MD
President
(216) 479-9063

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629661889

Premise Health of New York Medical, P.c's National Provider Identifier is 1629661889, issued on Feb 18, 2021. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Endicott, NY. The record was last updated on Aug 16, 2022.