Individual
TISHANA CHER GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
510 HEMPSTEAD TPKE RM 203, WEST HEMPSTEAD, NY 11552-1152
(000) 000-0000
Mailing address
510 HEMPSTEAD TPKE RM 203, WEST HEMPSTEAD, NY 11552-1152
(516) 505-7200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402904
NY
Other
Enumeration date
10/09/2019
Last updated
03/20/2020
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