| NPI | 1104936061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN IRVING GRANOFF Physician 631-369-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 211787) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-12-07 |