Individual
MR. TIMOTHY PATRICK GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC 2
Contact information
Practice address
300 CENTER DR, RIVERHEAD, NY 11901-3393
(631) 852-2680
Mailing address
300 CENTER DR FL 2, RIVERHEAD, NY 11901-3393
(631) 852-2680
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30557
NY
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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