Provider Demographics
NPI:1326307893
Name:FRIDMAN-RYBNER, MARINA
Entity Type:Individual
Prefix:
First Name:MARINA
Middle Name:
Last Name:FRIDMAN-RYBNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2722 E 22ND ST
Mailing Address - Street 2:2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2808
Mailing Address - Country:US
Mailing Address - Phone:347-645-9083
Mailing Address - Fax:
Practice Address - Street 1:2722 E 22ND ST
Practice Address - Street 2:2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2808
Practice Address - Country:US
Practice Address - Phone:347-645-9083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula