Provider Demographics
NPI:1063549996
Name:GRIBETZ, CARIN HANNA (MD)
Entity type:Individual
Prefix:DR
First Name:CARIN
Middle Name:HANNA
Last Name:GRIBETZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 EAST 85TH STREET,
Mailing Address - Street 2:APT. 6E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0208
Mailing Address - Country:US
Mailing Address - Phone:212-996-8761
Mailing Address - Fax:
Practice Address - Street 1:108 E 86TH ST
Practice Address - Street 2:SUITE 1N
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-1024
Practice Address - Country:US
Practice Address - Phone:212-289-3300
Practice Address - Fax:212-996-5707
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY222165207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology