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
Line 1 Street Address	7207 PENELOPE AVE
	Group Practice or individual's line 1 address
City	MIDDLE VILLAGE
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	113791812
	Group Practice or individual's zip code (9 digits when available)

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

Physician Compare National (NPI:1457511743)

HEALTHCARE PROVIDER: LEV GRINMAN M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information