Provider Demographics
NPI:1487997821
Name:GRIFFITH, MINDY P (MD)
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:P
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:HSC LEVEL 16, 020
Mailing Address - Street 2:DEPARTMENT OF MEDICINE, SUNY STONYBROOK
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-8160
Mailing Address - Country:US
Mailing Address - Phone:631-444-7411
Mailing Address - Fax:631-444-2493
Practice Address - Street 1:HSC LEVEL 16, 020
Practice Address - Street 2:DEPARTMENT OF MEDICINE, SUNY STONYBROOK
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-8160
Practice Address - Country:US
Practice Address - Phone:631-444-7411
Practice Address - Fax:631-444-2493
Is Sole Proprietor?:No
Enumeration Date:2013-04-04
Last Update Date:2024-04-25
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA10336800207R00000X, 207RE0101X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine