Provider Demographics
NPI:1033391297
Name:RUTH KAPLAN TREIBER, MD & ERIC S. TREIBER, MD
Entity Type:Organization
Organization Name:RUTH KAPLAN TREIBER, MD & ERIC S. TREIBER, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:S
Authorized Official - Last Name:TREIBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-967-2153
Mailing Address - Street 1:175 PURCHASE ST
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-2137
Mailing Address - Country:US
Mailing Address - Phone:914-967-2153
Mailing Address - Fax:914-967-0453
Practice Address - Street 1:175 PURCHASE ST
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-2137
Practice Address - Country:US
Practice Address - Phone:914-967-2153
Practice Address - Fax:914-967-0453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY131227207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA99675Medicare UPIN