Griffiss Ec, LLC

NPI #1487259545 in Rome, New York

Provider Information

NPI Number: 1487259545
Entity Type: Organization
Organization Name: Griffiss Ec, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: GRIFFISS EC, LLC
Primary Specialty: Anesthesiology
Enumeration Date: Dec 4, 2020
Last Updated: Dec 4, 2020

Practice Location

Address: 105 DART CIR
City: Rome
State: New York
ZIP Code: 13441-4229
Phone: (315) 533-5747

Authorized Official

Name: PATRICK COSTELLO, MD
Title: AUTHORIZED OFFICIAL
Phone: (315) 533-5747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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