Individual
THOMAS CULLEN GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
2-12 W PARK AVE, LONG BEACH, NY 11561-2025
(516) 889-2332
(516) 889-2399
Mailing address
69 RIVERSIDE AVE, MASSAPEQUA, NY 11758-5127
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404542
NY
Other
Enumeration date
08/03/2021
Last updated
11/02/2022
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