Healthcare Provider Details

I. General information

NPI: 1730049610
Provider Name (Legal Business Name): SARAH GRIFFIN NUTRITION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 BANK ST
MORRISTOWN NJ
07960-5120
US

IV. Provider business mailing address

113 S CHURCH ST
GOSHEN NY
10924-2135
US

V. Phone/Fax

Practice location:
  • Phone: 845-633-0090
  • Fax:
Mailing address:
  • Phone: 845-633-0090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: SARAH GRIFFIN
Title or Position: DIETITIAN
Credential: MS, RD, CSP, CDN
Phone: 845-633-0090