DR. IRIS ANN GRANEK M.D. NPI 1619182649

NPI Information

  • NPI: 1619182649
  • Provider Name: DR. IRIS ANN GRANEK, M.D.
  • Classification: Preventive Medicine - 2083P0901X
  • Specialization: Public Health & General Preventive Medicine
  • Entity Type: Individual
  • Address: 631 JAYNE BLVD
    PORT JEFFERSON STATION, NY
    ZIP 11776
  • Phone: (631) 928-9396

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NPI Details

DR. Iris Ann Granek, M.D. is a public health and general preventive medicine preventive medicine in Port Jefferson Station, NY. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. DR. Iris Ann Granek, M.D. NPI is 1619182649. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

631 JAYNE BLVD
PORT JEFFERSON STATION, NY
ZIP 11776-947
Phone: (631) 928-9396
Fax: (631) 444-7525

The enumeration date for this NPI number is 5/12/2007 and was last updated on 4/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083P0901XPreventive MedicinePublic Health & General Preventive Medicine147963NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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