Healthcare Provider Details

I. General information

NPI: 1669396594
Provider Name (Legal Business Name): ANNA GRIBETZ PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 MIDDLE NECK RD STE 217
GREAT NECK NY
11021-2374
US

IV. Provider business mailing address

45 MIDDLE NECK RD STE 217
GREAT NECK NY
11021-2374
US

V. Phone/Fax

Practice location:
  • Phone: 646-339-8210
  • Fax:
Mailing address:
  • Phone: 646-339-8210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ANNA GRIBETZ
Title or Position: PHD
Credential:
Phone: 646-339-8210