| Promed Preferred Ia Pllc | |
|
142 Main St Bloomingburg NY 12721-4611 | |
| (615) 499-3165 | |
| Not Available |
| Full Name | Promed Preferred Ia Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 142 Main St, Bloomingburg, New York |
| Authorized Official Name and Position | Lev Grinman (PRESIDENT) |
| Authorized Official Contact | 6154993165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promed Preferred Ia Pllc 329 S Oyster Bay Rd # 2059 Plainview NY 11803-3301 Ph: () - | Promed Preferred Ia Pllc 142 Main St Bloomingburg NY 12721-4611 Ph: (615) 499-3165 |
| NPI Number | 1144196973 |
|---|---|
| Provider Enumeration Date | 10/17/2025 |
| Last Update Date | 10/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144196973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |