Individual
DR. MICHAEL DAVID GRIBETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 NOYES ST, UTICA, NY 13502-3854
(315) 738-4440
(315) 738-4440
Mailing address
PO BOX 650, NEW HARTFORD, NY 13413-0650
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
169683 -1
NY
2084F0202X
Forensic Psychiatry Physician
018986
CT
2084P0800X
Psychiatry Physician
018986
CT
2084P0805X
Geriatric Psychiatry Physician
Primary
MD030216 E
PA
Other
Enumeration date
03/24/2006
Last updated
03/20/2014
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