# GRAND MEDICAL SERVICES, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023288149
- **Authorized official:** SONYA S VENTOUR MD (PRESIDENT)
- **Authorized official phone:** (516) 771-4971

## Contact information

- **Practice address:** 2280 GRAND AVE STE 303, BALDWIN, NY 11510-3110
- **Practice address phone:** (516) 771-4971
- **Practice address fax:** (516) 771-2758
- **Mailing address:** 2280 GRAND AVE STE 303, BALDWIN, NY 11510-3110
- **Mailing address phone:** (516) 771-4971
- **Mailing address fax:** (516) 771-2758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 184350 | NY | Yes |

## Other

- **Enumeration date:** 03/04/2008
- **Last updated:** 03/04/2008