Healthcare Provider Details

I. General information

NPI: 1932699790
Provider Name (Legal Business Name): EVE KAT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2018
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date: 06/26/2018
Reactivation Date: 07/27/2026

III. Provider practice location address

117 DOBBIN ST
BROOKLYN NY
11222-5502
US

IV. Provider business mailing address

2686 OCEAN AVE APT D2
BROOKLYN NY
11229-4653
US

V. Phone/Fax

Practice location:
  • Phone: 212-683-8905
  • Fax:
Mailing address:
  • Phone: 212-683-8905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number134769
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: