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NPI Code Detail

MEDICARE: GABRIELA ULLOA MD

MEDICARE: GABRIELA ULLOA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080N0001XNeonatal-Perinatal Medicine Physician323428-01NY

General Provider Information

NPI Number : 1831727932
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELA ULLOA MD
Provider Business Mailing Address
First Line : 525 E 68TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10065-4870
Country : US
Telephone Number : 646-697-6428
Fax Number :
Provider Business Practice Location Address
First Line : 506 6TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-3609
Country : US
Telephone Number : 718-499-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2020
Last Update Date : 03/13/2026

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