Individual provider · Type 1 NPI

Angelina Adina Ribacoff

Student in an Organized Health Care Education/Training Program · Douglaston, NY

NPI number 1629323704 Active

Practice location

24302 Northern Blvd
Douglaston, NY 11362-1150

Mailing address

405 Daub Ave
Hewlett, NY 11557-1136

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629323704

Angelina Adina Ribacoff's National Provider Identifier is 1629323704, issued on Jul 16, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Douglaston, NY. The record was last updated on Jul 16, 2012.