Individual
MARTIN I GRANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
554 LARKFIELD RD, EAST NORTHPORT, NY 11731-4205
(631) 368-3800
Mailing address
PO BOX 899, EAST NORTHPORT, NY 11731-0526
(631) 368-3800
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
211787-1
NY
Other
Enumeration date
07/03/2006
Last updated
12/07/2007
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