Healthcare Provider Details

I. General information

NPI: 1487574638
Provider Name (Legal Business Name): EMILY HOUGHTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 NORTHERN BLVD STE 201
LONG ISLAND CITY NY
11101-2889
US

IV. Provider business mailing address

3030 NORTHERN BLVD STE 201
LONG ISLAND CITY NY
11101-2889
US

V. Phone/Fax

Practice location:
  • Phone: 347-839-1307
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number124159-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: