Nerissa Guballa Md Pc
Obstetrics & Gynecology · New York, NY
At a glance
408 E 76Th St, New York, NY 10021
NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.
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Practice location
408 E 76Th StNew York, NY 10021
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Obstetrics & Gynecology
- Taxonomy code
- 207V00000X
- Enumeration date
- Nov 30, 2006
- Record updated
- Aug 22, 2020
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Obstetrics & Gynecology
207V00000X · Primary
License reported: 220682 NY
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
408 E 76Th StNew York, NY 10021
- Phone
- (212) 249-0900
- Fax
- (212) 249-5277
Mailing address
408 E 76TH STNEW YORK, NY 10021
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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