Provider Demographics
NPI:1679312821
Name:BATSON-GRIGGS, DEIDRE
Entity type:Individual
Prefix:MRS
First Name:DEIDRE
Middle Name:
Last Name:BATSON-GRIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 E UTICA ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14208-2129
Mailing Address - Country:US
Mailing Address - Phone:716-201-0849
Mailing Address - Fax:
Practice Address - Street 1:334 E UTICA ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14208-2129
Practice Address - Country:US
Practice Address - Phone:716-201-0849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver