| Grand Medical Services, Pc | |
|
2280 Grand Ave Ste 303 Baldwin NY 11510-3110 | |
| (516) 771-4971 | |
| (516) 771-2758 |
| Full Name | Grand Medical Services, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2280 Grand Ave Ste 303, Baldwin, New York |
| Authorized Official Name and Position | Sonya S Ventour (PRESIDENT) |
| Authorized Official Contact | 5167714971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Medical Services, Pc 2280 Grand Ave Ste 303 Baldwin NY 11510-3110 Ph: (516) 771-4971 | Grand Medical Services, Pc 2280 Grand Ave Ste 303 Baldwin NY 11510-3110 Ph: (516) 771-4971 |
| NPI Number | 1023288149 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 03/04/2008 |
| Medicare PECOS PAC ID | 2668534397 |
|---|---|
| Medicare Enrollment ID | O20081215000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023288149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 184350 (New York) | Primary |
| Provider Name | Sonya S Ventour |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225016611 PECOS PAC ID: 7719971787 Enrollment ID: I20040413000217 |
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