STONY BROOK PREVENTIVE MEDICINE SERVICES, UNIV FCLTY PRACTICE CORP
NPI 1164478749
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Stony Brook, NY

Active since May 26, 2006
SUNY @ STONY BROOK, HSC, L3, RM 086, STONY BROOK, NY 11794(631) 444-2189 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stony Brook Preventive Medicine Services, Univ Fclty Practice Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STONY BROOK PREVENTIVE MEDICINE SERVICES, UNIV FCLTY PRACTICE CORP (NPI 1164478749) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Stony Brook, New York and active in the NPI registry since May 2006. The organization lists Iris A Granek, President, as its authorized official.

NPPES Registry Identity

NPI1164478749
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameSTONY BROOK PREVENTIVE MEDICINE SERVICES, UNIV FCLTY PRACTICE CORP
Location AddressSUNY @ STONY BROOK, HSC, L3, RM 086Stony Brook, NY 11794-0001
Mailing AddressPo Box 1554Stony Brook, NY 11790-0988 · (631) 444-2189
Organization SubpartNo
Authorized OfficialIris A GranekPresident · (631) 444-2189
Enumeration DateMay 26, 2006
Last NPPES UpdateFebruary 6, 2015
NPI 1164478749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
SUNY @ STONY BROOK, Stony Brook, NY 11794

Other Identifiers 2

Medicaid00994812NY
Medicare PINW12841NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
SUNY @ STONY BROOK, HSC, L19, RM 020
STONY BROOK, NY 11794
Pediatrics
SUNY @ STONY BROOK, HSC, L11, RM 020
STONY BROOK, NY 11794
Internal Medicine (Pulmonary Disease)
SUNY @ STONY BROOK, HSC, L16, RM 020
STONY BROOK, NY 11794
Neurological Surgery
SUNY @ STONY BROOK, HSC, L12, RM 080
STONY BROOK, NY 11794
Orthopaedic Surgery
SUNY @ STONY BROOK, HSC, L18, RM 080
STONY BROOK, NY 11794
Internal Medicine (Medical Oncology)
SUNY @ STONY BROOK, HSC, L16, RM 020
STONY BROOK, NY 11794
Internal Medicine (Nephrology)
SUNY @ STONY BROOK, HSC, L16, RM 020
STONY BROOK, NY 11794
Internal Medicine (Gastroenterology)
SUNY @ STONY BROOK, HSC, L16, RM 020
STONY BROOK, NY 11794

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stony Brook Preventive Medicine Services, Univ Fclty Practice Corp's NPI number?

The NPI number for Stony Brook Preventive Medicine Services, Univ Fclty Practice Corp is 1164478749. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is Stony Brook Preventive Medicine Services, Univ Fclty Practice Corp located?

Stony Brook Preventive Medicine Services, Univ Fclty Practice Corp is located at Suny @ Stony Brook Hsc, L3, Rm 086, Stony Brook, NY 11794. The listed phone number is (631) 444-2189.

What is Stony Brook Preventive Medicine Services, Univ Fclty Practice Corp's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

When was this NPI record last updated?

The NPPES record for Stony Brook Preventive Medicine Services, Univ Fclty Practice Corp was last updated on February 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.