Provider Demographics
NPI:1851746556
Name:RIBNER, AVIGAYIL (MD)
Entity Type:Individual
Prefix:
First Name:AVIGAYIL
Middle Name:
Last Name:RIBNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AVIGAYIL
Other - Middle Name:
Other - Last Name:RIBNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF SURGERY DIVISION OF VASCULAR
Mailing Address - Street 2:HST L19 RM090
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8191
Mailing Address - Country:US
Mailing Address - Phone:631-444-2037
Mailing Address - Fax:631-444-8824
Practice Address - Street 1:DEPARTMENT OF SURGERY DIVISION OF VASCULAR
Practice Address - Street 2:HST L19 RM090
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8191
Practice Address - Country:US
Practice Address - Phone:631-444-2037
Practice Address - Fax:631-444-8824
Is Sole Proprietor?:No
Enumeration Date:2016-04-30
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ642582086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery