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Individual

THERESA MARY GRIFFITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
462 1ST AVE, DEPARTMENT OF PEDIATRICS, NEW YORK, NY 10016-9196
(212) 263-3005
(646) 501-6933
Mailing address
130 MALCOLM X BLVD, #914, NEW YORK, NY 10026-2503
(917) 472-7133
(917) 472-7133

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381410
NY

Other

Enumeration date
12/19/2012
Last updated
12/19/2012
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