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

Promed Preferred Wv Professional Corporation

Organization Internal Medicine Physician · NPI 1295617645

Promed Preferred Wv Professional Corporation is an Internal Medicine Physician in Brooklyn, New York. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1314 54th St
Brooklyn, NY 11219-4219
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 number1295617645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lev Grinman — President · (615) 499-3165
NPI enumeratedJuly 24, 2025
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address329 S Oyster Bay Rd # 2059, Plainview, NY 11803-3301

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