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Organization

GROVER MED LLC

Active
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Organization

GROVER MED LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAVI GROVER (CEO)
(516) 882-7473
Entity
Organization

Contact information

Practice address
100 NEWBRIDGE RD STE 6, HICKSVILLE, NY 11801-3948
(516) 882-7473
(516) 530-9478
Mailing address
1077 IRIS PL, WESTBURY, NY 11590-5610
(917) 299-6051

Taxonomy

Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06211930
NY
01
1134772320
CMS
NY
Enumeration date
03/24/2020
Last updated
04/03/2023
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