Provider Demographics
NPI:1861703993
Name:ARRIBAS, JANET JAY (DO)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:JAY
Last Name:ARRIBAS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:JANET
Other - Middle Name:JAY
Other - Last Name:ARRIBAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:417 E 116TH ST APT 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-1637
Mailing Address - Country:US
Mailing Address - Phone:646-351-3462
Mailing Address - Fax:
Practice Address - Street 1:160 BROADWAY FL 16
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4207
Practice Address - Country:US
Practice Address - Phone:917-982-2517
Practice Address - Fax:917-900-1990
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2550161208D00000X
NY255016207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine