Martin I Granoff Md Pc

LBN: Martin I Granoff Md Pc
Martin I Granoff Md Pc is an health care organization with primary practice located at 554 Larkfield Road Sutie 105, East Northport NY 11731. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Martin I Granoff Md Pc can be contacted via phone (631) 369-3800, or through Granoff, Martin Irving via phone (631) 369-3800.

Contact Information

Primary practice address
554 Larkfield Road Sutie 105 East Northport NY 11731
Phone: (631) 369-3800
Fax: (631) 368-3802
Website:
Map and Directions
Authorized official contact:
Name: Granoff, Martin Irving Doctor of Medicine (MD)
Phone: (631) 369-3800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 211787 New York

Profile Details

NPI number 1104936061
LBN Legal business name Martin I Granoff Md Pc
DBA Doing business as
Authorized official Granoff, Martin Irving Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 7th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104936061 NPPES
New York MEDICAID 02169033

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