Provider Demographics
NPI:1083380877
Name:RYBINA, SVETLANA (LAC)
Entity Type:Individual
Prefix:
First Name:SVETLANA
Middle Name:
Last Name:RYBINA
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WINSTON DR APT 2520
Mailing Address - Street 2:
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-3229
Mailing Address - Country:US
Mailing Address - Phone:201-637-1045
Mailing Address - Fax:
Practice Address - Street 1:661 E PALISADE AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-1800
Practice Address - Country:US
Practice Address - Phone:201-366-4837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist