Angelique L Grissom
Specialist in Middletown, New York
1457613432- Practice location
- 31 Washington St, Middletown, NY 10940-5234
- Phone
- 347-420-1472
- Fax
- —
- Last updated
- June 14, 2012
Angelique L Grissom is a Specialist based in Middletown, NY. Angelique L Grissom practices in Middletown, NY. The NPI Number for Angelique L Grissom is 1457613432. The current practice location address for Angelique L Grissom is 31 Washington St, Middletown, NY 10940-5234 and can be reached out via phone at 347-420-1472.
Provider Profile Details
- NPI Number
- 1457613432
- Provider Name
- Angelique L Grissom
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 31 Washington St, Middletown, NY 10940-5234
- Phone Number
- 347-420-1472
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 14, 2012
- Last Update Date
- June 14, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 31 Washington St
Middletown, NY 10940-5234 - City
- Middletown
- State
- New York
- Zip
- 10940-5234
- Phone Number
- 347-420-1472
Provider Business Mailing Address Details
- Address
- 31 Washington St
Middletown, NY 10940-5234 - City
- Middletown
- State
- NY
- Zip
- 10940-5234
- Phone Number
- 347-420-1472
License Information
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Middletown, NY
View all Specialists in Middletown →Frequently Asked Questions
What is the NPI number of Angelique L Grissom?
The NPI number of Angelique L Grissom is 1457613432. It was assigned on June 14, 2012 and is currently active in the NPPES registry.
What is the specialty of Angelique L Grissom?
Angelique L Grissom is registered under the primary taxonomy Specialist (code 174400000X).
Where does Angelique L Grissom practice?
The practice location is 31 Washington St, Middletown, NY 10940-5234. The office can be reached at 347-420-1472 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457613432 directly on the NPPES registry website.