Individual
ELLA GOURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E 233RD ST, BRONX, NY 10466-2604
(718) 920-9000
Mailing address
64 RAVEN TER, STRATFORD, CT 06614-3329
(616) 375-9029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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