Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IRIS ANN GRANEK, M.D.
Active Sole ProprietorDR. IRIS ANN GRANEK, M.D. is a Public Health & General Preventive Medicine healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1619182649 is currently active in the NPPES registry. Verify at CMS.
Public Health & General Preventive Medicine · PORT JEFFERSON STATION, NY
Registration Details
- NPI Number
- 1619182649
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 12, 2007 (19.3004405103 yrs)
- Last Updated
- Apr 7, 2022
- License
-
147963 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
631 JAYNE BLVDPORT JEFFERSON STATION, NY, 117762947Browse NY providers · Browse ZIP 11776
- Phone
- 6319289396
- Fax
- 6314447525
- Primary Specialty
-
Public Health & General Preventive Medicine
2083P0901X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.