Dr Iris Ann Granek, MD is a
Preventive Medicine - Public Health & General Preventive Medicine physician based in Port Jefferson Station, New York. Dr Iris Ann Granek is licensed to practice in New York (license number 147963) and her current practice location is 631 Jayne Blvd, Port Jefferson Station, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 928-9396.
NPI number for Dr Iris Ann Granek is 1619182649 and her current mailing address is 631 Jayne Blvd, Port Jefferson Station, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619182649.
Physician's Profile
| Full Name | Dr Iris Ann Granek |
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| Gender | Female |
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| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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| Location | 631 Jayne Blvd, Port Jefferson Station, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619182649
- Provider Enumeration Date: 05/12/2007
- Last Update Date: 04/07/2022
Medical Identifiers
Medical identifiers for Dr Iris Ann Granek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619182649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 147963 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Iris Ann Granek is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Iris Ann Granek, MD
631 Jayne Blvd,
Port Jefferson Station, NY 11776-2947
Ph: (631) 928-9396 | Dr Iris Ann Granek, MD
631 Jayne Blvd,
Port Jefferson Station, NY 11776-2947
Ph: (631) 928-9396 |
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