Provider Demographics
NPI:1619967056
Name:RIBNER, JEFFREY A (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:A
Last Name:RIBNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4104 OLD VESTAL RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850-3500
Mailing Address - Country:US
Mailing Address - Phone:607-584-4675
Mailing Address - Fax:607-584-4679
Practice Address - Street 1:4104 OLD VESTAL RD
Practice Address - Street 2:SUITE 205
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-3500
Practice Address - Country:US
Practice Address - Phone:607-584-4675
Practice Address - Fax:607-584-4679
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY102909-12084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology