Individual ProviderLashanda GriffinLicensed Practical NurseNursing Service ProvidersPractice Address85 Birch Rd, Amityville, NY 11701-1040(631) 478-3265PECOS EnrollmentBased on the most recent information from CMS, provider Lashanda Griffin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1720478803Provider TypeIndividualFull NameGriffin, LashandaGenderFemaleSole ProprietorNoEnumeration Date1/28/2015Last Updated1/28/2015Contact InformationPractice LocationPractice Address85 Birch Rd, Amityville, NY 11701-1040Phone(631) 478-3265FaxUnlisted FaxMailing LocationMailing Address85 Birch Rd, Amityville, NY 11701-1040PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense314139New York