| Promed Preferred Ky 2 P.S.C. | |
|
10 Daisy Ct Airmont NY 10901-7705 | |
| (615) 499-3165 | |
| Not Available |
| Full Name | Promed Preferred Ky 2 P.S.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 10 Daisy Ct, Airmont, 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 Ky 2 P.S.C. 329 S Oyster Bay Rd # 2059 Plainview NY 11803-3301 | Promed Preferred Ky 2 P.S.C. 10 Daisy Ct Airmont NY 10901-7705 Ph: (615) 499-3165 |
| NPI Number | 1730079823 |
|---|---|
| Provider Enumeration Date | 07/09/2025 |
| Last Update Date | 07/09/2025 |
| Certification Date | 07/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730079823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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