OrganizationActive
Premise Health of New York Medical, P.C
NPI 1407177272 · Corporate Health Clinic/Center · New York, NY
Provider details
- NPI number
- 1407177272
- Entity type
- Organization
- Primary specialty
- Corporate Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jon Leizman, President(216) 479-9063
- License
- 008673 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1585 Broadway
8th Floor
New York, NY 10036-8200
Phone: (212) 761-7989
Approximate (ZIP-level) locationGet directions
Mailing address
1585 Broadway
New York, NY 10036-8200
Registry dates
- Enumerated
- 2010-06-16
- Last updated
- 2022-08-15
- Certified
- 2022-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.