Provider Demographics
NPI:1568660736
Name:BARBARA GRIFFITH, M.D., P.C.
Entity Type:Organization
Organization Name:BARBARA GRIFFITH, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-776-7758
Mailing Address - Street 1:296 KIMBALL AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-3026
Mailing Address - Country:US
Mailing Address - Phone:914-776-7758
Mailing Address - Fax:914-776-7863
Practice Address - Street 1:296 KIMBALL AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-3026
Practice Address - Country:US
Practice Address - Phone:914-776-7758
Practice Address - Fax:914-776-7863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2010-08-03
Deactivation Date:2010-04-19
Deactivation Code:
Reactivation Date:2010-08-03
Provider Licenses
StateLicense IDTaxonomies
NY164473207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
A63283Medicare UPIN