Individual
DR. GARY G GRIFFIETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
197191
NY
208000000X
Pediatrics Physician
Primary
48969
TN
2080P0006X
Developmental - Behavioral Pediatrics Physician
197191
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401693002
BSNENY
NY
05
—
01698842
—
NY
01
—
060915000050
FIDELIS
NY
01
—
070803000061
FIDELIS/DEVELOPMENTAL PED
NY
01
—
10000811
CDPHP
NY
01
—
200052
SENIOR WHOLE HEALTH
NY
01
—
26219
MVP
NY
01
—
47337
GHI/HMO
NY
01
—
550731
EMPIRE BC
NY
01
—
5848474
AETNA
NY
01
—
6007013
MVP/DEVELOP BEHAV PEDS
NY
Enumeration date
08/29/2006
Last updated
10/16/2013
Update your record
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