Individual
MS. ALYSSA CATHERINE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
265 BRIDGEPORT AVE, MEDFORD, NY 11763-4018
(631) 618-7156
(631) 618-7156
Mailing address
265 BRIDGEPORT AVE, MEDFORD, NY 11763-4018
(631) 741-8066
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
021228
NY
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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