Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nerissa S. Guballa, MD

Individual provider Specialist · NPI 1194906529

Nerissa S. Guballa, MD is a Specialist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

408 E 76th St
New York, NY 10021-3104 Not confirmed with CMS for 18 years — call before visiting
Phone: (212) 249-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 220632-1 (NY)

Record details

NPI number1194906529
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 14, 2007
Last updated in NPPESJuly 14, 2008

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