Individual
MRS. ANGELINA ADINA RIBACOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24302 NORTHERN BLVD, DOUGLASTON, NY 11362-1150
(718) 423-6200
Mailing address
405 DAUB AVE, HEWLETT, NY 11557-1136
(516) 295-1626
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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