| Promed Preferred Ga 2 Professional Corporation | |
|
5 Siget Ct. #202 Monroe NY 10950 | |
| (615) 499-3165 | |
| Not Available |
| Full Name | Promed Preferred Ga 2 Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 5 Siget Ct., Monroe, New York |
| Authorized Official Name and Position | Lev Grinman (OWNER) |
| Authorized Official Contact | 6154993165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promed Preferred Ga 2 Professional Corporation 329 S Oyster Bay Rd Ste 2059 Plainview NY 11803-3301 Ph: () - | Promed Preferred Ga 2 Professional Corporation 5 Siget Ct. #202 Monroe NY 10950 Ph: (615) 499-3165 |
| NPI Number | 1033934542 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 04/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033934542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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