Healthcare Provider Details

I. General information

NPI: 1174440168
Provider Name (Legal Business Name): KATHERINE URENA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

15 SKYLINE DR FL 2
HAWTHORNE NY
10532-2152
US

IV. Provider business mailing address

77 GREENVALE AVE
YONKERS NY
10703-1824
US

V. Phone/Fax

Practice location:
  • Phone: 914-347-5990
  • Fax:
Mailing address:
  • Phone: 914-619-1541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: