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ANGELIQUE L GRISSOM
NPI 1457613432
Specialist in Middletown, NY

Active since June 14, 2012
31 WASHINGTON ST, MIDDLETOWN, NY 10940(347) 420-1472 Get Directions Write a Review

NPPES record last updated: June 14, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angelique L Grissom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELIQUE L GRISSOM (NPI 1457613432) is an individual specialist in Middletown, New York and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1457613432
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameANGELIQUE L GRISSOM
Location Address31 WASHINGTON STMiddletown, NY 10940-5234
Mailing Address31 Washington StMiddletown, NY 10940-5234 · (347) 420-1472
Phone(347) 420-1472
Sole ProprietorNo
Enumeration DateJune 14, 2012
✔ NPI 1457613432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
31 WASHINGTON ST, Middletown, NY 10940
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelique Grissom's NPI number?

The NPI number for Angelique Grissom is 1457613432. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Where is Angelique Grissom located?

Angelique Grissom practices at 31 Washington St, Middletown, NY 10940. The listed phone number is (347) 420-1472.

What is Angelique Grissom's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Angelique Grissom was last updated on June 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.