Healthcare Provider Details

I. General information

NPI: 1396778221
Provider Name (Legal Business Name): SHARON L GRIFFITH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 03/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 W 115TH ST
NEW YORK NY
10026-3138
US

IV. Provider business mailing address

60 MADISON AVE 5TH FLOOR
NEW YORK NY
10010-1600
US

V. Phone/Fax

Practice location:
  • Phone: 212-426-0088
  • Fax: 212-426-8367
Mailing address:
  • Phone: 212-545-2400
  • Fax: 646-312-0481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number209317-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: