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Individual

MS. CHERYL INGRID VAUGHN-GRIFFITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
11304 219TH ST, QUEENS VILLAGE, NY 11429-2624
(718) 740-2802
Mailing address
11304 219TH ST, QUEENS VILLAGE, NY 11429-2624
(718) 740-2802

Taxonomy

Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
5463881
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MEDCAID
NY
05
MEDICAID
NY
Enumeration date
02/26/2009
Last updated
02/26/2009
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