Provider Demographics
NPI:1740564079
Name:GRIFFITH, ELEANOR (MS, CGC)
Entity type:Individual
Prefix:
First Name:ELEANOR
Middle Name:
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 CLARKSON AVE APT 2E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-1947
Mailing Address - Country:US
Mailing Address - Phone:516-900-4363
Mailing Address - Fax:
Practice Address - Street 1:223 BEDFORD AVE STE 1137
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-4171
Practice Address - Country:US
Practice Address - Phone:516-900-4363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-05
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS