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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 Specialty Code Provider Type

Primary Care

261QP2300X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GRAND MEDICAL GROUP PC

NPI # 1124107438
LBN Legal business name GRAND MEDICAL GROUP PC
Authorized official ALLA SAVRANSKY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2006
Last updated 01/08/2014 - About 12 years ago
Identifiers
NY License # 219115
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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