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Organization
MARTIN I GRANOFF MD PC
Active
Organization
MARTIN I GRANOFF MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN IRVING GRANOFF MD (PHYSICIAN)
(631) 369-3800
Entity
Organization
Contact information
Practice address
554 LARKFIELD ROAD, SUTIE 105, EAST NORTHPORT, NY 11731
(631) 369-3800
(631) 368-3802
Mailing address
PO BOX 899, EAST NORTHPORT, NY 11731-0526
(631) 369-3800
(631) 368-3802
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
211787
NY
Other
Enumeration date
08/30/2006
Last updated
12/07/2007
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