Healthcare Provider Details

I. General information

NPI: 1366868978
Provider Name (Legal Business Name): KATHRYN MARIE GRIFFO MS SP. ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2014
Last Update Date: 04/26/2022
Certification Date: 04/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 E NORTH ST
BUFFALO NY
14203-1002
US

IV. Provider business mailing address

106 GREENCASTLE LN
WILLIAMSVILLE NY
14221-1765
US

V. Phone/Fax

Practice location:
  • Phone: 716-885-8871
  • Fax: 716-882-4319
Mailing address:
  • Phone: 716-688-9363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: