Individual
DR. JOHN J GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
295 ESSJAY RD, WILLIAMSVILLE, NY 14221-8216
(716) 630-1050
(716) 250-5925
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-5782
(716) 630-1219
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
178092-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000523834003
HEALTH NOW
NY
01
—
0010069101
UNIVERA
NY
01
—
0021748
GHI
NY
05
—
01172650
—
NY
01
—
040426001682
FIDELIS
NY
01
—
161000580
NOVA
NY
01
—
178092-3B
WORKERS COMPENSATION
NY
01
—
1907449
IHA
NY
01
—
340010896
RR MEDICARE
NY
Enumeration date
05/01/2006
Last updated
12/13/2021
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