| NPI | 1164478749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS A GRANEK President 631-444-2189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2015-02-06 |