Stony Brook Family And Preventive Medicine, University Faculty Practic

LBN: Stony Brook Family And Preventive Medicine, University Faculty Practic
Stony Brook Family And Preventive Medicine, University Faculty Practic is an health care organization with primary practice located at Suny @ Stony Brook Hsc, L4, Rm 050, Stony Brook NY 11794-0001. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Stony Brook Family And Preventive Medicine, University Faculty Practic can be contacted via phone (631) 444-2306, or through Granek, Iris A via phone (631) 444-2306.

Contact Information

Primary practice address
Suny @ Stony Brook Hsc, L4, Rm 050 Stony Brook NY 11794-0001
Fax:
Website:
Authorized official contact:
Name: Granek, Iris A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1982659470
LBN Legal business name Stony Brook Family And Preventive Medicine, University Faculty Practic
DBA Doing business as
Authorized official Granek, Iris A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Jan 24th, 2017 - about 7 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 1982659470 NPPES
New York MEDICAID 00549880

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