GRIFFIN MYERS MEDICAL P.C. NPI 1780209445

NPI Information

NPI: 1780209445
Provider Name: GRIFFIN MYERS MEDICAL, P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 33D2192421

Address:
455 SUTTER AVE
BROOKLYN, NY
ZIP 11212
Phone: (718) 765-6550
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GRIFFIN MYERS MEDICAL, P.C. is a primary care clinic center in Brooklyn, NY. GRIFFIN MYERS MEDICAL, P.C. NPI is 1780209445. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

455 SUTTER AVE
BROOKLYN, NY
ZIP 11212-111
Phone: (718) 765-6550
Fax: (347) 620-9739

The provider's authorized official is Griffin Myers .
The authorized official title is Cmo and has the following contact phone number (307) 264-2085.

The CLIA number assigned to this NPI record is 33D2192421 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2020 and was last updated on 6/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	207Q00000X	Family Medicine		No
3	207R00000X	Internal Medicine		No
4	363L00000X	Nurse Practitioner		No
5	363LF0000X	Nurse Practitioner	Family	No
6	261QP2300X	Clinic/Center	Primary Care	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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