Individual
DEBRA RIEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
711A OLD LANE RD, VESTAL, NY 13850-3570
(315) 271-9197
Mailing address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 773-4389
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
676966-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
676966-1
GREATER BINGHAMTON HEALTH CENTER
NY
05
—
676966-1
—
NY
Enumeration date
03/29/2019
Last updated
03/29/2019
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