Individual
ALINA GOULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
355 W 52ND ST FL 3, NEW YORK, NY 10019-6239
(646) 754-2100
Mailing address
PO BOX 95000-2433, PHILADELPHIA, PA 19195-2433
(212) 420-3917
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
209284
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01797800
—
NY
Enumeration date
10/27/2005
Last updated
04/02/2021
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