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Organization
GRAND CENTRAL MEDICAL SERVICES PLLC
Active
Organization
GRAND CENTRAL MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JADE LOR (MANAGER)
(929) 389-5969
Entity
Organization
Contact information
Practice address
315 MADISON AVE RM 201, NEW YORK, NY 10017-5438
(929) 551-3588
Mailing address
450 LEXINGTON AVE UNIT 586, NEW YORK, NY 10163-9618
(929) 389-5969
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
NULL
171100000X
Acupuncturist
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
NULL
207RN0300X
Nephrology Physician
—
—
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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