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Premise Health Of New York Medical, P.c
Primary Care Clinic/Center in Lakewood, New York
NPI 1093991598

Premise Health Of New York Medical, P.c is a Primary Care Clinic/Center based in Brentwood, NY and is specialized in Primary Care. Premise Health Of New York Medical, P.c practices in Lakewood, NY. The NPI Number for Premise Health Of New York Medical, P.c is 1093991598 and holds a License No. (New York).

The current practice location address for Premise Health Of New York Medical, P.c is 4720 Baker Street Ext, Lakewood, NY and can be reached out via phone at 716-456-2334 and via fax at 716-456-2628.

Location: 4720 Baker Street Ext, Lakewood, NY, 37027-4993
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093991598
Provider Name
Premise Health Of New York Medical, P.c
Credential
Provider Entity Type
Organization
Address
4720 Baker Street Ext, Lakewood, NY, 37027-4993
Phone Number
716-456-2334
Fax Number
716-456-2628
Provider Enumeration Date
01/14/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
4720 Baker Street Ext
City
Lakewood
State
New York
Zip
14750-9772
Phone Number
716-456-2334
Fax Number
716-456-2628
person
Provider Business Mailing Address Details
Address
4720 Baker Street Ext
City
Lakewood
State
New York
Zip
14750-9772
Phone Number
716-456-2334
Fax Number
716-456-2628
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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