DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRAND MEDICAL GROUP PC

Active Organization

GRAND MEDICAL GROUP PC is a Primary Care Clinic organization located in NEW YORK, New York. NPI 1124107438 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · NEW YORK, NY

Registration Details

NPI Number
1124107438
Provider Type
Organization
NPI Issued
Nov 6, 2006 (19.798122321765 yrs)
Last Updated
Jan 8, 2014
Licenses
219115 (NY)
219115 (NY)

Practice Information

Address
457 FDR DR
NEW YORK, NY, 100025954
Browse NY providers · Browse ZIP 10002
Phone
2122600690
Fax
2122544694
Primary Specialty
Primary Care Clinic
261QP2300X
Additional Specialty
Primary Care Clinic

Other Primary Care Clinic Organizations in NEW YORK, NY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.