Individual
RONALD M GUBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
135 MAMARONECK AVE, MAMARONECK, NY 10543-3712
(914) 381-4440
(718) 497-7322
Mailing address
6083 MYRTLE AVE, RIDGEWOOD, NY 11385-5908
(718) 381-8402
(718) 497-7322
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N004232
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01040239
—
NY
01
—
1400248
GHI
NY
01
—
165296
ELDERPLAN
NY
01
—
36851P
HIP
NY
01
—
865502
AETNA
NY
01
—
PG9791
BC/BS
NY
01
—
WS839
OXFORD
NY
Enumeration date
10/23/2006
Last updated
04/24/2012
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