Gourlay, Cassandra M

Gourlay, Cassandra M is an individual health care provider with primary practice located at 2290 Palisades Center Dr , West Nyack NY 10994-6402. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orientation and Mobility Training Provider, which is considered as her primary health care specialty. Gourlay, Cassandra M can be contacted via phone (845) 624-1366.

Contact Information

Primary practice address
2290 Palisades Center Dr West Nyack NY 10994-6402
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Website:

Profile Details

NPI number 1366186249
LBN Legal business name Gourlay, Cassandra M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2022
Last updated May 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366186249 NPPES
Other 22895 CERTIFICATION #

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