Provider Demographics
NPI:1366703787
Name:GRIFFITHS-ROSE, DOROTHY EMILY I (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:EMILY
Last Name:GRIFFITHS-ROSE
Suffix:I
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MS
Other - First Name:DOROTHY
Other - Middle Name:EMILY
Other - Last Name:GRIFFITHS
Other - Suffix:I
Other - Last Name Type:Former Name
Other - Credentials:REGISTERED
Mailing Address - Street 1:689 WYONA STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207
Mailing Address - Country:US
Mailing Address - Phone:718-385-1663
Mailing Address - Fax:718-345-3021
Practice Address - Street 1:110 CHESTER STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212
Practice Address - Country:US
Practice Address - Phone:718-385-1663
Practice Address - Fax:718-345-3021
Is Sole Proprietor?:No
Enumeration Date:2012-06-01
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY393891163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse