Provider Demographics
NPI:1558002584
Name:REMOTE HEALTH MEDICAL PLLC
Entity Type:Organization
Organization Name:REMOTE HEALTH MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAYER
Authorized Official - Middle Name:
Authorized Official - Last Name:GRUNFELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:437-826-2211
Mailing Address - Street 1:11313 76TH RD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-6672
Mailing Address - Country:US
Mailing Address - Phone:914-403-8985
Mailing Address - Fax:914-935-9264
Practice Address - Street 1:11313 76TH RD
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-6672
Practice Address - Country:US
Practice Address - Phone:914-403-8985
Practice Address - Fax:914-935-9264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty