Provider Demographics
NPI:1336949171
Name:A ARIBARA PSYCHIATRY PC
Entity type:Organization
Organization Name:A ARIBARA PSYCHIATRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AKEEM
Authorized Official - Middle Name:MOBOLAJI
Authorized Official - Last Name:ARIBARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:682-554-8797
Mailing Address - Street 1:11 TAYLOR CT
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310-1229
Mailing Address - Country:US
Mailing Address - Phone:682-554-8797
Mailing Address - Fax:
Practice Address - Street 1:42 BROADWAY FL 12
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-1617
Practice Address - Country:US
Practice Address - Phone:347-273-1845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty