Provider Demographics
NPI:1780838375
Name:CARRETAS, RIBBONETTE JOAQUIN (PT)
Entity Type:Individual
Prefix:MRS
First Name:RIBBONETTE
Middle Name:JOAQUIN
Last Name:CARRETAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:RIBBONETTE
Other - Middle Name:SY
Other - Last Name:JOAQUIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:81 CEDAR RD
Mailing Address - Street 2:
Mailing Address - City:DUMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:07628-1005
Mailing Address - Country:US
Mailing Address - Phone:201-384-3894
Mailing Address - Fax:
Practice Address - Street 1:328 E 62ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8206
Practice Address - Country:US
Practice Address - Phone:212-752-7575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-09
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015738225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist