Individual
CASSANDRA M GOURLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2290 PALISADES CENTER DR, WEST NYACK, NY 10994-6402
(845) 624-1366
Mailing address
197 W MOMBASHA RD, MONROE, NY 10950-5329
(845) 624-1366
Taxonomy
Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22895
CERTIFICATION #
—
Enumeration date
04/26/2022
Last updated
05/02/2022
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