Individual
AZIM GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904-1775
(607) 724-1391
Mailing address
124 BAKER ST, JOHNSON CITY, NY 13790-1904
(607) 759-8065
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307443
NY
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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