Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Promed Preferred Mo PC

Organization Internal Medicine Physician · NPI 1093682593

Promed Preferred Mo PC is an Internal Medicine Physician in Melville, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4 Legends Cir
Melville, NY 11747-5302
Phone: (615) 499-3165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1093682593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lev Grinman — President · (615) 499-3165
NPI enumeratedOctober 20, 2025
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address329 S Oyster Bay Rd # 2059, Plainview, NY 11803-3301

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