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NPI Code Detail

MEDICARE: STACY GRIFFITH-ARIS

MEDICARE: STACY GRIFFITH-ARIS
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 Nurse550921NY

General Provider Information

NPI Number : 1881862613
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY GRIFFITH-ARIS
Provider Business Mailing Address
First Line : 3314 TILDEN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-3811
Country : US
Telephone Number : 646-361-8486
Fax Number :
Provider Business Practice Location Address
First Line : 3314 TILDEN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-3811
Country : US
Telephone Number : 646-361-8486
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2008
Last Update Date : 02/14/2008

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Directions to “ STACY GRIFFITH-ARIS ” Practice Location

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