Provider Demographics
NPI:1831484567
Name:GRIFFISS EC, LLC
Entity Type:Organization
Organization Name:GRIFFISS EC, LLC
Other - Org Name:GRIFFISS EYE SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:BARRETTA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:315-334-6918
Mailing Address - Street 1:267 HILL ROAD
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13441
Mailing Address - Country:US
Mailing Address - Phone:315-334-6918
Mailing Address - Fax:
Practice Address - Street 1:105 DART CIRCLE
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13441
Practice Address - Country:US
Practice Address - Phone:315-334-6918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical