Provider Demographics
NPI:1689822728
Name:GRIFFIN, MARGARET (LPN)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 STERLING AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14216-2413
Mailing Address - Country:US
Mailing Address - Phone:716-834-1057
Mailing Address - Fax:716-831-1793
Practice Address - Street 1:151 STERLING AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14216-2413
Practice Address - Country:US
Practice Address - Phone:716-834-1057
Practice Address - Fax:716-831-1793
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY210704164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02916521Medicaid