1306098421 NPI number — MS. KAREN MARIA GRIFFOUL-ARKIN LMSW

Table of content: MS. KAREN MARIA GRIFFOUL-ARKIN LMSW (NPI 1306098421)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306098421 NPI number — MS. KAREN MARIA GRIFFOUL-ARKIN LMSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GRIFFOUL-ARKIN
Provider First Name:
KAREN
Provider Middle Name:
MARIA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GRIFFOUL
Provider Other First Name:
KAREN
Provider Other Middle Name:
MARIA
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMSW
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1306098421
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/07/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
209 KAMDA BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW HYDE PARK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11040-3118
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-327-6016
Provider Business Mailing Address Fax Number:
516-327-6017

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2465 BATHGATE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10458-5928
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-367-5917
Provider Business Practice Location Address Fax Number:
718-367-6692
Provider Enumeration Date:
10/21/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  041327 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com