Organization · Type 2 NPI

Premise Health of New York Medical, P.c

Occupational Medicine Clinic/Center · Geneva, NY

NPI number 1952995375 Active

Practice location

300 Forge Ave
Geneva, NY 14456-1257

Call (315) 781-9355 Map

Fax (315) 410-5626

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: 1952995375
Entity type: Organization (Type 2)
Issued: Feb 25, 2021
Last updated: Aug 16, 2022
Status: Active

Other names

<unavail>
Henkel Geneva Health Center · doing business as
Henkel Geneva Health Center · 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 1952995375

Premise Health of New York Medical, P.c's National Provider Identifier is 1952995375, issued on Feb 25, 2021. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Geneva, NY. The record was last updated on Aug 16, 2022.