Organization · Type 2 NPI

Premise Health of New York Medical PC

General Practice Physician · New York, NY

NPI number 1902248164 Active

Practice location

51 Madison Ave, Floor 1B
New York, NY 10010-1603

Fax (212) 447-4225

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone 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.

3 other providers at this address

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About NPI 1902248164

Premise Health of New York Medical PC's National Provider Identifier is 1902248164, issued on Jul 29, 2013. 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 Feb 5, 2026.