National Provider Identifier Database

GRAND MEDICAL GROUP PC
Primary Care


Contact Information

GRAND MEDICAL GROUP PC
457 FDR DR
NEW YORK, NY10002-5954
Phone: 212-260-0690
Fax: 212-254-4694
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for GRAND MEDICAL GROUP PC

NPI Number 1124107438
Legal business name
LBN
GRAND MEDICAL GROUP PC
Authorized official ALLA SAVRANSKY - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/06/2006
Last updated 01/08/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 219115

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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