Individual provider · Type 1 NPI

Fuseina Gimballa

Medical Physician Assistant · New York, NY

NPI number 1265209977 Active

Practice location

462 1st Ave
New York, NY 10016-9196

Mailing address

32 Kathwood Rd
White Plains, NY 10607-1158

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1265209977

Fuseina Gimballa's National Provider Identifier is 1265209977, issued on Dec 4, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Dec 20, 2023.