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Individual

MR. EDWARD P. GOUSSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC.

Contact information

Practice address
29 W 38TH ST STE 601, NEW YORK, NY 10018-5504
(631) 778-5064
Mailing address
29 W 38TH ST STE 601, NEW YORK, NY 10018-5504
(631) 778-5064

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
004494
NY
171100000X
Acupuncturist
Primary
004494-1
NY

Other

Enumeration date
04/30/2011
Last updated
04/11/2023
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