Individual
MANI GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 724-1391
Mailing address
107 N ARCH ST, JOHNSON CITY, NY 13790-1427
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
813028
NY
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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