Individual
DR. TODD R GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 TECHNOLOGY DR, EAST SETAUKET, NY 11733-4047
(631) 444-4686
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-4686
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
204792
NY
207VG0400X
Gynecology Physician
204792
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02310589
—
NY
01
—
542E62
EMPIRE BC.BS
NY
01
—
7801161
AETNA
NY
Enumeration date
06/23/2006
Last updated
06/06/2022
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