Healthcare Provider Details

I. General information

NPI: 1871451567
Provider Name (Legal Business Name): KATHERINE EMERY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 HAVEMEYER ST APT 12
BROOKLYN NY
11211-5496
US

IV. Provider business mailing address

164 HAVEMEYER ST APT 12
BROOKLYN NY
11211-5496
US

V. Phone/Fax

Practice location:
  • Phone: 914-374-3260
  • Fax:
Mailing address:
  • Phone: 914-374-3260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number42567
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number131811
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: