MEDICARE: ALISHA GRIFFITH M.S CCC A/SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	001944	NY
2	235Z00000X	Speech-Language Pathologist	015460	NY

General Provider Information

NPI Number	:	1932284304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISHA GRIFFITH M.S CCC A/SLP

Provider Business Mailing Address
First Line	:	3220 AVENUE H
Second Line	:	APT 2N
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3258
Country	:	US
Telephone Number	:	718-859-3977
Fax Number	:

Provider Business Practice Location Address
First Line	:	3220 AVENUE H
Second Line	:	APT 2N
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3258
Country	:	US
Telephone Number	:	718-859-3977
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	09/11/2025

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