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NPI Code Detail

MEDICARE: MAY GURT

MEDICARE:   MAY  GURT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1255984571
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAY GURT
Provider Business Mailing Address
First Line : 2846 STILLWELL AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11224-2624
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2846 STILLWELL AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11224-2624
Country : US
Telephone Number : 929-273-7601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2019
Last Update Date : 07/17/2019

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Directions to “ MAY GURT ” Practice Location

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