Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angelique L Grissom

Individual provider Specialist · NPI 1457613432

Angelique L Grissom is a Specialist in Middletown, New York. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

31 Washington St
Middletown, NY 10940-5234
Phone: (347) 420-1472
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1457613432
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 14, 2012
Last updated in NPPESJune 14, 2012

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