MS. ALYSSA CATHERINE GRIFFIN


Address: 265 Bridgeport Ave, Medford, NY 11763-4018
Phone: 6316187156

MS. ALYSSA CATHERINE GRIFFIN (NPI# 1154848356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154848356
Entity Type Individual
Full Name MS. ALYSSA CATHERINE GRIFFIN
Credential PHYSICIAN ASSISTANT
Practice Address 265 Bridgeport Ave
Medford
NY 11763-4018
Practice Telephone 6316187156
Practice Fax Number 6316187156
Mailing Telephone 6317418066
Enumeration Date 2017-08-28
Last Update Date 2017-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
021228 NY Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 265 BRIDGEPORT AVE
City MEDFORD
State NY
Zip Code 11763-4018

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1215419650 Megan Bell Speech-Language Pathologist 135 Buffalo Avenue, Medford, NY 11763 2018-09-01
1922592906 Elizabeth L Oakley Specialist 1 Sprat St, Medford, NY 11763 2018-06-21
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760907125 Amanda Stevens Physician Assistant 1731 N Ocean Ave Ste A, Medford, NY 11763-2670 2017-08-07
1518366863 Latoya Allen Physician Assistant 2450 Highgate St, Unit 12, Medford, OR 97501-7955 2014-08-21
1942491097 Diana M Loo Physician Assistant 940 Royal Ave Unit 420, Medford, OR 97504-6194 2007-08-05
1821159658 Dean W Moss Physician Assistant 3720 Fieldbrook Ave, Medford, OR 97504-9474 2006-12-13
1437762333 Nicole Elisa Gregoire Physician Assistant 2900 State St, Medford, OR 97504-8458 2020-08-28
1043705460 Hakan Binek Physician Assistant 520 Medical Center Dr Ste 300, Medford, OR 97504-4316 2018-06-27
1659884401 Savana Marisa Cochrane Physician Assistant 520 Medical Center Dr Ste 300, Medford, OR 97504-4316 2017-11-14
1730692500 Michael Jaskot Physician Assistant 2780 E Barnett Rd, Medford, OR 97504-8674 2017-11-14
1740792316 James Zheng Berking Physician Assistant 2780 E Barnett Rd, Medford, OR 97504-8674 2017-11-03
1033588546 Daniel Neville Physician Assistant 520 Medical Center Dr, Suite 201, Medford, OR 97504-4334 2015-09-15
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Competitor

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City MEDFORD
Zip Code 11763

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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