Individual
RACHEL MIRIAM RIBACOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
788 COLUMBUS AVE, #11L, NEW YORK, NY 10025-5951
(917) 716-3947
Mailing address
788 COLUMBUS AVE, #11L, NEW YORK, NY 10025-5951
(917) 716-3947
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004361
NY
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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