Provider Demographics
NPI:1093153256
Name:GRIFFITH, ANDREA SOPHIA (MS)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:SOPHIA
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:379 HUNNEWELL AVE
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-3437
Mailing Address - Country:US
Mailing Address - Phone:347-495-8330
Mailing Address - Fax:
Practice Address - Street 1:379 HUNNEWELL AVE
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-3437
Practice Address - Country:US
Practice Address - Phone:347-495-8330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-10
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist