Individual
CICELY GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1482 SAINT JOHNS PL, BROOKLYN, NY 11213-3929
(718) 828-2666
Mailing address
1482 SAINT JOHNS PL, BROOKLYN, NY 11213-3929
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
250415
NY
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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