Promed Preferred Az 4, Pllc

NPI #1396635488 in Monroe, New York

Provider Information

NPI Number: 1396635488
Entity Type: Organization
Organization Name: Promed Preferred Az 4, Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Jul 8, 2025
Last Updated: Jul 8, 2025

Practice Location

Address: 7 TOLTCHAV WAY UNIT 203
City: Monroe
State: New York
ZIP Code: 10950-8585
Phone: (615) 499-3165

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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