Provider Demographics
NPI:1144205055
Name:GUBBAY, BARBARA (RN/NP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:GUBBAY
Suffix:
Gender:F
Credentials:RN/NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 JODI BETH DR
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-1060
Mailing Address - Country:US
Mailing Address - Phone:845-528-5222
Mailing Address - Fax:
Practice Address - Street 1:4 MORRISSEY DR
Practice Address - Street 2:
Practice Address - City:PUTNAM VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10579-3018
Practice Address - Country:US
Practice Address - Phone:845-528-5222
Practice Address - Fax:845-528-8589
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF330056-1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner