Individual
EDMUND AZERIAH GRIFFIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 MADISON AVE FL 21, NEW YORK, NY 10022-5433
(646) 863-4004
(646) 430-8950
Mailing address
515 MADISON AVE, NEW YORK, NY 10022-5403
(646) 863-4004
(646) 430-8950
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
61-4784
NY
2084P0800X
Psychiatry Physician
Primary
239591
NY
Other
Enumeration date
06/30/2008
Last updated
03/06/2019
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