Provider Demographics
NPI:1780880591
Name:ROBERT P. GRIGGS, JR., M.D., P.C.
Entity type:Organization
Organization Name:ROBERT P. GRIGGS, JR., M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:GRIGGS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:516-794-4422
Mailing Address - Street 1:30 MERRICK AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-1579
Mailing Address - Country:US
Mailing Address - Phone:516-794-4422
Mailing Address - Fax:
Practice Address - Street 1:30 MERRICK AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-1579
Practice Address - Country:US
Practice Address - Phone:516-794-4422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY168224207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty