Organization
ELECTRIC GRILL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SONG (COO)
(718) 586-1790
Entity
Organization
Contact information
Practice address
4118 38TH ST, LONG ISLAND CITY, NY 11101-1709
(718) 586-1790
Mailing address
1718 201ST ST, BAYSIDE, NY 11360-1019
(718) 586-1790
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
332U00000X
Home Delivered Meals
—
—
335G00000X
Medical Foods Supplier
—
—
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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