Gaballa, Jefferson G A
Gaballa, Jefferson G A is an individual health care provider with primary practice located at 166 Madison Ave 3Rd Floor, New York NY 10016. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Gaballa, Jefferson G A can be contacted via phone (212) 687-5560.Contact Information
Primary practice address
166 Madison Ave 3Rd Floor
New York NY 10016
Phone: (212) 687-5560
Fax: (212) 687-5530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 203423 | New York |
Profile Details
| NPI number | 1609065580 |
|---|---|
| LBN Legal business name | Gaballa, Jefferson G A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2007 |
| Last updated | Oct 17th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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