Stony Brook Family and Preventive Medicine, University Faculty Practic
NPI #1982659470 in Stony Brook, New York
Provider Information
- NPI Number
- 1982659470
- Entity Type
- Organization
- Organization Name
- Stony Brook Family and Preventive Medicine, University Faculty Practic
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 23, 2006
- Last Updated
- Jan 24, 2017
Practice Location
- Address
- SUNY @ STONY BROOK
- Address 2
- HSC, L4, RM 050
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11794-0001
- Phone
- (631) 444-2306
Authorized Official
- Name
- DR. IRIS A GRANEK, M.D.
- Title
- CHAIRPERSON
- Phone
- (631) 444-2306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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