How We Work
The first 48 hours, then the first 90 days.
Our story
We started before the playbook existed, and we are still here. Same owners, same market, the whole time.
Who is Efferent Media?
Efferent Media is a family owned digital marketing agency in Lindenhurst, New York, founded in 2011 by Joe and Nicole Garraffo. We serve Long Island contractors, home service companies, healthcare practices, building product manufacturers and consumer brands, and we have kept the same owners and the same market for the whole run.
Who you’re working with
Joe Garraffo has been in digital marketing since 1998, from leading interactive projects at Newsday to building Efferent into the agency behind national brands like SheaMoisture and T-Mobile and Long Island names like Nicolock, Aboff’s and Express COD.
Nicole Garraffo, Joe’s wife and co-owner, runs operations.
We know this market. We know what Long Island customers search for, what they trust, and what it costs to reach them. You will never have to tell us it is on Long Island, not in Long Island.
Fifteen years, three eras
Search changed, social arrived, platforms came and went. What carried through was knowing what a lead is worth in this market.
01 / 04
01
We opened when local search was still an afterthought and most Long Island businesses had a website nobody had looked at in three years. The work was convincing people that the phone could be made to ring on purpose.
02
SheaMoisture, Unilever, MET-Rx, T-Mobile. Budgets an order of magnitude larger, and the same fundamentals underneath: find the demand, capture it, measure what it produced.
The fundamentals did not change. Only the zeros.
03
Nicolock, Aboff’s, Arrow, Express COD, Good Guys. The work we are best at is a Long Island business with real capacity and no idea which half of the budget is working.
04
Research that took a week takes an afternoon. Reporting that took a day runs overnight. Fifteen years of pattern recognition did not disappear when AI arrived, it got cheaper to apply.
More of your budget moves to work that changes revenue
What it adds up to
One chain, five links, and we own every one of them. Most businesses have four and cannot work out why the reporting never agrees with the bank account.
The chain a dollar travels
DIAGRAMWhat you get either way
Keep reading
The first 48 hours, then the first 90 days.
The people who run your account.
Proof you can check.
We are usually looking.
FAQ
Straight answers. If something is not here, ask us on the audit call.
Since 2011. Same owners the entire time, based on Long Island the entire time.
145 E Sunrise Hwy #1, Lindenhurst, NY 11757, in Suffolk County. We work across Nassau and Suffolk and with national brands.
Yes. Joe Garraffo founded the company and runs the work. Nicole Garraffo, his wife and co-owner, runs operations.
No. Most of our clients are here, and it is the market we know best, but we have run national consumer brand accounts including SheaMoisture, Unilever, MET-Rx and T-Mobile.
You do. Everything we build is created in your name on your billing. If the relationship ends you keep the accounts, the data and the site.
Owner-operated companies with real capacity to take on more work, up to national brands. The common thread is that someone in the building actually cares what a lead costs.

Let’s talk
Tell us about your business. We’ll show you where the growth is, within 48 hours.