Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 163684 | NY |
NPI | 1316994403 |
---|---|
Provider Name | James Grifo |
First Address | New York, NY 10016-3214 |
Second Address | New York, NY 10016-3214 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 08/10/2019 |