Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stony Brook Family and Preventive Medicine, University Faculty Practic

Organization Family Medicine Physician · NPI 1982659470

Stony Brook Family and Preventive Medicine, University Faculty Practic is a Family Medicine Physician in Stony Brook, New York. Registered with an NPI since 2006.

In the registry since
2006

Practice location Partly verified

Some contact details are missing from the federal record.

Suny @ Stony Brook Hsc L4 Rm 050
Stony Brook, NY 11794-0001
Phone: (631) 444-2306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1982659470
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Iris Granek — Chairperson · (631) 444-2306
NPI enumeratedMay 23, 2006
Last updated in NPPESJanuary 24, 2017
Mailing addressPo Box 1554, Stony Brook, NY 11790-0988

Other providers in Stony Brook