MEDICARE: MARTIN I GRANOFF MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	211787-1	NY

General Provider Information

NPI Number	:	1326078916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTIN I GRANOFF MD

Provider Business Mailing Address
First Line	:	PO BOX 899
Second Line	:
City	:	EAST NORTHPORT
State	:	NY
Zip	:	11731-0526
Country	:	US
Telephone Number	:	631-368-3800
Fax Number	:

Provider Business Practice Location Address
First Line	:	554 LARKFIELD RD
Second Line	:
City	:	EAST NORTHPORT
State	:	NY
Zip	:	11731-4205
Country	:	US
Telephone Number	:	631-368-3800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	12/07/2007

Similar Medicare Providers

1528047719 — DR. LYUDMILA VALDMAN MD
Practice Location Address:

554 LARKFIELD RD , STE 203
EAST NORTHPORT, NY
11731-4205

Practice Phone: 631-266-6870
Practice Fax: 631-266-2548

1457321911 — MR. STEVEN C DESOUSA PT
Practice Location Address:

554 LARKFIELD RD , SUITE 207
EAST NORTHPORT, NY
11731-4205

Practice Phone: 631-266-4501
Practice Fax: 631-266-4502

1508820622 — DR. ALAN WEISMAN DPM
Practice Location Address:

554 LARKFIELD RD STE 10C
EAST NORTHPORT, NY
11731-4205

Practice Phone: 631-368-3668
Practice Fax: 631-368-3669

1407814080 — DR. CHAU H LEE DO
Practice Location Address:

554 LARKFIELD RD , SUITE 105
EAST NORTHPORT, NY
11731-4205

Practice Phone: 631-368-3800
Practice Fax: 631-368-3802

1912958802 — JENNIFER MCMONIGLE DO
Practice Location Address:

554 LARKFIELD RD , STE 10G
EAST NORTHPORT, NY
11731-4205

Practice Phone: 631-230-6644
Practice Fax: 631-230-6645

1306867494 — AMIR HERMAN D.O.
Practice Location Address:

554 LARKFIELD RD , SUITE 101
EAST NORTHPORT, NY
11731-4205

Practice Phone: 631-368-9166
Practice Fax: 631-368-5682

Directions to “ MARTIN I GRANOFF MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.