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1194906529
NERISSA S. GUBALLA
NEW YORK, NY
NPI
1194906529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 220632-1)
Enumeration Date
2007-11-14
Last Update Date
2008-07-14
Business Address
-- NERISSA S. GUBALLA M.D.
408 E 76TH ST
NEW YORK, NY 10021-3104
Phone number: 212-249-0900
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Mailing Address
-- NERISSA S. GUBALLA M.D.
408 E 76TH ST
NEW YORK, NY 10021-3104
Phone number: 212-249-0900
Copy
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