| Sme Tennessee Pc | |
|
4 Legends Cir Melville NY 11747-5302 | |
| (646) 673-1660 | |
| Not Available |
| Full Name | Sme Tennessee Pc |
|---|---|
| Speciality | General Practice |
| Location | 4 Legends Cir, Melville, New York |
| Authorized Official Name and Position | Lev Grinman (OWNER) |
| Authorized Official Contact | 6466731660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sme Tennessee Pc 4321 Collington Rd Bowie MD 20716-2259 Ph: (646) 673-1660 | Sme Tennessee Pc 4 Legends Cir Melville NY 11747-5302 Ph: (646) 673-1660 |
| NPI Number | 1154885390 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154885390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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