Individual
LORENZO BERRY MCGRIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
497 ROCKAWAY AVE, VALLEY STREAM, NY 11581-1909
(718) 845-2621
Mailing address
435 BLAKE AVE # 2, BROOKLYN, NY 11212-8107
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
411
NY
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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