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NPI Code Detail

MEDICARE: KATHERINE WILLIAMS

MEDICARE: KATHERINE WILLIAMS
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
1221700000XArt Therapist003090NY

General Provider Information

NPI Number : 1265241830
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE WILLIAMS
Provider Business Mailing Address
First Line : 26 CHERRYWOOD DR
Second Line :
City : EAST NORTHPORT
State : NY
Zip : 11731-4322
Country : US
Telephone Number : 631-678-8727
Fax Number :
Provider Business Practice Location Address
First Line : 275 N MIDDLETOWN RD STE 1D
Second Line :
City : PEARL RIVER
State : NY
Zip : 10965-1189
Country : US
Telephone Number : 845-793-2657
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2025
Last Update Date : 05/19/2026

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