Griffith, Larry Fitzterrence

Griffith, Larry Fitzterrence is an sole proprietor health care provider with primary practice located at 121 Dekalb Ave 8Th Floor, Brooklyn NY 11201-5425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Griffith, Larry Fitzterrence can be contacted via phone (718) 250-8320.

Contact Information

Primary practice address
121 Dekalb Ave 8Th Floor Brooklyn NY 11201-5425
Phone: (718) 250-8320
Fax: (718) 250-6080
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 232507 New York

Profile Details

NPI number 1386614824
LBN Legal business name Griffith, Larry Fitzterrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Sep 14th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386614824 NPPES
New York MEDICAID 02945339

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