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

Stony Brook Preventive Medicine Services, Univ Fclty Practice Corp

Organization Preventive Medicine/Occupational Environmental Medicine Physician · NPI 1164478749

Stony Brook Preventive Medicine Services, Univ Fclty Practice Corp is a Preventive Medicine/Occupational Environmental Medicine Physician in Stony Brook, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Partly verified

Some contact details are missing from the federal record.

Suny @ Stony Brook Hsc L3 Rm 086
Stony Brook, NY 11794-0001
Phone: (631) 444-2189
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preventive Medicine/Occupational Environmental Medicine Physician (primary) Taxonomy 2083P0500X

Record details

NPI number1164478749
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Iris Granek — President · (631) 444-2189
NPI enumeratedMay 26, 2006
Last updated in NPPESFebruary 6, 2015
Mailing addressPo Box 1554, Stony Brook, NY 11790-0988