Organization
SME COLORADO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEV GRINMAN MD (OWNER)
(646) 673-1660
Entity
Organization
Contact information
Practice address
4 LEGENDS CIR, MELVILLE, NY 11747-5302
(646) 673-1660
Mailing address
4321 COLLINGTON RD, BOWIE, MD 20716-2259
(646) 673-1660
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
08/03/2021
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