Healthcare Provider Details

I. General information

NPI: 1700798477
Provider Name (Legal Business Name): KATHERINE HUREWITZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 N 3RD ST APT 1
BROOKLYN NY
11249-3500
US

IV. Provider business mailing address

124 N 3RD ST APT 1
BROOKLYN NY
11249-3500
US

V. Phone/Fax

Practice location:
  • Phone: 914-393-8562
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number133068
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: