Individual provider · Type 1 NPI

Nerissa S. Guballa, MD

Specialist · New York, NY

NPI number 1194906529 Active

Practice location

408 E 76th St
New York, NY 10021-3104

Call (212) 249-0900 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X220632-1 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1194906529

Nerissa S. Guballa, MD's National Provider Identifier is 1194906529, issued on Nov 14, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Jul 14, 2008.