Stony Brook Preventive Medicine Services, Univ Fclty Practice Corp
NPI #1164478749 in Stony Brook, New York
Provider Information
- NPI Number
- 1164478749
- Entity Type
- Organization
- Organization Name
- Stony Brook Preventive Medicine Services, Univ Fclty Practice Corp
- Primary Specialty
- Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine
- Enumeration Date
- May 26, 2006
- Last Updated
- Feb 6, 2015
Practice Location
- Address
- SUNY @ STONY BROOK
- Address 2
- HSC, L3, RM 086
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11794-0001
- Phone
- (631) 444-2189
Authorized Official
- Name
- IRIS A GRANEK, M.D.
- Title
- PRESIDENT
- Phone
- (631) 444-2189
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine — Preventive Medicine/Occupational Environmental Medicine |
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