Promed Preferred Ga 2 Professional Corporation

NPI #1033934542 in Monroe, New York

Provider Information

NPI Number: 1033934542
Entity Type: Organization
Organization Name: Promed Preferred Ga 2 Professional Corporation
Primary Specialty: Internal Medicine
Enumeration Date: Nov 19, 2024
Last Updated: Apr 14, 2025

Practice Location

Address: 5 SIGET CT.
Address 2: #202
City: Monroe
State: New York
ZIP Code: 10950
Phone: (615) 499-3165

Authorized Official

Name: LEV GRINMAN, MD
Title: OWNER
Phone: (615) 499-3165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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