Healthcare Provider Details
I. General information
NPI: 1851160410
Provider Name (Legal Business Name): GRIFFON TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/25/2023
Last Update Date: 03/15/2026
Certification Date: 03/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
418 BROADWAY # 5481
ALBANY NY
12207-2922
US
IV. Provider business mailing address
418 BROADWAY # 5481
ALBANY NY
12207-2922
US
V. Phone/Fax
- Phone: 914-252-8739
- Fax:
- Phone: 914-252-8739
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 344600000X |
| Taxonomy | Taxi |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FAYONA
THOMAS
Title or Position: MEMBER/OWNER
Credential:
Phone: 914-252-8739