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Physician Compare National (NPI:1457511743)

HEALTHCARE PROVIDER: LEV GRINMAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1457511743
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7810011723
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100830000714
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name GRINMAN
Individual professional last name
Provider First Name LEV
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2005
Individual professional's medical school graduation year
Primary Specialty NEUROLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name YANKEE NEUROPHYSIOLOGY, P.C.
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 5698929883
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 4
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 37 KETTLEPOND RD
Group Practice or individual's line 1 address
City JERICHO
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 117531157
Group Practice or individual's zip code (9 digits when available)
Phone Number 4843518459202
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 670059
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 CHI ST LUKES HEALTH LAKESIDE HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 670077
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 HOUSTON METHODIST WEST HOSPITAL
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 330106
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 360134
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 GOOD SAMARITAN HOSPITAL
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 330043
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 NS/LIJ HS SOUTHSIDE HOSPITAL
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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