Griffith, William R

Griffith, William R is an individual health care provider with primary practice located at 612 University Ave , Syracuse NY 13210-1807. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Griffith, William R can be contacted via phone (315) 422-6214.

Contact Information

Primary practice address
612 University Ave Syracuse NY 13210-1807
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 190741 New York

Profile Details

NPI number 1033106364
LBN Legal business name Griffith, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033106364 NPPES
New York MEDICAID 01369126

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