Provider profile · NPI 1518035799

448 Griffing Ave. Nurse Practitioner Pc

Nurse Practitioner, Women's Health · Riverhead, NY · NPI 1518035799 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Nurse Practitioner, Women's Health

Enumerated

Dec 4, 2006

License(s)

F420078-1 (NY), F420078-1 (NY), F420078-1 (NY)

Addresses on file

PurposeAddressCity/StatePhone
LOCATION448 GRIFFING AVE Riverhead, NY 11901-3012631-909-8030
MAILING448 GRIFFING AVE Riverhead, NY 11901-3012631-909-8030

View on NPPES registry ↗

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