Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 252302-1 | NY |
N | 207VE0102X | Reproductive Endocrinologist | 252302 | NY |
NPI | 1356376313 |
---|---|
Provider Name | Adam M Griffin |
First Address | Snyder, NY 14226-3800 |
Second Address | Snyder, NY 14226-0000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 30/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BB5317 | MEDICARE ID-TYPE UNSPECIFIED (01) | NY |
OTH000 | (02) | NY |