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NPI Code Detail

MEDICARE: LATOYA GRIFFITHS RN

MEDICARE: LATOYA GRIFFITHS RN
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
1163W00000XRegistered Nurse812785NY

General Provider Information

NPI Number : 1700206836
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATOYA GRIFFITHS RN
Provider Business Mailing Address
First Line : 15 SUFFEN PLACE
Second Line :
City : SUFFERN
State : NY
Zip : 10901
Country : US
Telephone Number : 845-443-1812
Fax Number :
Provider Business Practice Location Address
First Line : 15 SUFFERN PL
Second Line :
City : SUFFERN
State : NY
Zip : 10901-5566
Country : US
Telephone Number : 845-443-1812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2014
Last Update Date : 01/10/2022

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