OrganizationActive
Premise Health of New York Medical, P.C
NPI 1629661889 · Occupational Medicine Clinic/Center · Endicott, NY
Provider details
- NPI number
- 1629661889
- Entity type
- Organization
- Primary specialty
- Occupational Medicine Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jon Leizman, President(216) 479-9063
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1301 North Street
Endicott, NY 13760
Phone: (607) 770-2081
Fax: (607) 770-3355
Approximate (ZIP-level) locationGet directions
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Other names (DBA / former)
- Doing business as
- Bae Systems Endicott Ny
- Doing business as
- Bae Systems Endicott Ny
Registry dates
- Enumerated
- 2021-02-18
- Last updated
- 2022-08-16
- Certified
- 2022-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.