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NPI Code Detail

MEDICARE: MS. EMMA KATHLEEN DOWNING MS, LCAT, R-DMT

MEDICARE:  MS. EMMA KATHLEEN DOWNING  MS, LCAT, R-DMT
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
1225600000XDance TherapistR-DMT-2247NY
2101YM0800XMental Health CounselorLCAT-002348NY

General Provider Information

NPI Number : 1023583861
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. EMMA KATHLEEN DOWNING MS, LCAT, R-DMT
Provider Business Mailing Address
First Line : 535 PARKSIDE AVE APT 6P
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-1548
Country : US
Telephone Number : 203-687-6435
Fax Number :
Provider Business Practice Location Address
First Line : 285 LIVINGSTON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-1006
Country : US
Telephone Number : 203-687-6435
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2018
Last Update Date : 08/14/2019

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