Provider Demographics
NPI:1609403252
Name:GRIBBEN, JEANIE (MD)
Entity Type:Individual
Prefix:
First Name:JEANIE
Middle Name:
Last Name:GRIBBEN
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:WEILL CORNELL INTERNAL MEDICINE ASSOCIATES
Mailing Address - Street 2:505 EAST 70TH STREET
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4872
Mailing Address - Country:US
Mailing Address - Phone:212-746-2900
Mailing Address - Fax:212-746-4609
Practice Address - Street 1:WEILL CORNELL INTERNAL MEDICINE ASSOCIATES
Practice Address - Street 2:505 EAST 70TH STREET
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-746-2900
Practice Address - Fax:212-746-4609
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY323550207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine