Provider Demographics
NPI:1164551248
Name:JUST THE RIGHT MEDICINE, PC
Entity Type:Organization
Organization Name:JUST THE RIGHT MEDICINE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:JACK
Authorized Official - Last Name:GRUNZWEIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-769-7900
Mailing Address - Street 1:6 WHITE DR
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-2608
Mailing Address - Country:US
Mailing Address - Phone:718-769-7900
Mailing Address - Fax:718-787-4887
Practice Address - Street 1:2000 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-7356
Practice Address - Country:US
Practice Address - Phone:718-769-7900
Practice Address - Fax:718-787-4887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171780207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01397819Medicaid
WEV551Medicare PIN
NY01397819Medicaid