Individual
DR. IRIS ANN GRANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
631 JAYNE BLVD, PORT JEFFERSON STATION, NY 11776-2947
(631) 928-9396
(631) 444-7525
Mailing address
631 JAYNE BLVD, PORT JEFFERSON STATION, NY 11776-2947
(631) 928-9396
(631) 444-7525
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
147963
NY
Other
Enumeration date
05/12/2007
Last updated
04/07/2022
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