Griswold, Kim S

Griswold, Kim S is an individual health care provider with primary practice located at 155 Lawn Ave Northwest Buffalo Community Health Care Center, Buffalo NY 14207. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Griswold, Kim S can be contacted via phone (716) 875-2904.

Contact Information

Primary practice address
155 Lawn Ave Northwest Buffalo Community Health Care Center Buffalo NY 14207
Phone: (716) 875-2904
Fax: (716) 875-6717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2009871 New York

Profile Details

NPI number 1568456424
LBN Legal business name Griswold, Kim S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Mar 29th, 2012 - about 10 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 1568456424 NPPES
New York MEDICAID 01762725

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