Provider Demographics
NPI:1750364790
Name:GRIFFIN, JOYCE (CNM)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 95000-2428
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-2428
Mailing Address - Country:US
Mailing Address - Phone:212-420-2039
Mailing Address - Fax:
Practice Address - Street 1:10 UNION SQUARE EAST
Practice Address - Street 2:BIMC- DEPT OF OB/GYN MIDWIVERY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-420-2039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000467176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01494095Medicaid
R95219Medicare UPIN
NYM3M881Medicare ID - Type Unspecified