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Organization
PROMED PREFERRED NJ 5 PC
Active
Organization
PROMED PREFERRED NJ 5 PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEV GRINMAN MD (PRESIDENT)
(615) 499-3165
Entity
Organization
Contact information
Practice address
4 LEGENDS CIR, MELVILLE, NY 11747-5302
(615) 499-3165
Mailing address
329 S OYSTER BAY RD # 2059, PLAINVIEW, NY 11803-3301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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