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NPI Code Detail

MEDICARE: PREMISE HEALTH OF NEW YORK MEDICAL PC

MEDICARE: PREMISE HEALTH OF NEW YORK MEDICAL PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1932407566
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMISE HEALTH OF NEW YORK MEDICAL PC
Provider Business Mailing Address
First Line : 5500 MARYLAND WAY STE 120
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-4993
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 745 SEVENTH AVE
Second Line : 21ST FLOOR
City : NEW YORK
State : NY
Zip : 10019-6801
Country : US
Telephone Number : 212-526-6315
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : EDWARD WILLIAM SCHWARTZ
Credential :
Telephone Number : 844-407-7557
Provider Enumeration Date : 03/07/2011
Last Update Date : 03/09/2026

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Directions to “PREMISE HEALTH OF NEW YORK MEDICAL PC ” Practice Location

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