Individual
CHARLES GOURGEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, MT-BC, LCAT
Contact information
Practice address
55 W 14TH ST, #4A, NEW YORK, NY 10011-7407
(212) 675-9493
Mailing address
55 W 14TH ST, #4A, NEW YORK, NY 10011-7407
(212) 675-9493
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
000182
NY
Other
Enumeration date
05/04/2008
Last updated
05/04/2008
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