Healthcare Provider Details

I. General information

NPI: 1346168895
Provider Name (Legal Business Name): RACHEL KATZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 HEMPSTEAD AVE
LYNBROOK NY
11563-1656
US

IV. Provider business mailing address

4 RANDOLPH DR
DIX HILLS NY
11746-8308
US

V. Phone/Fax

Practice location:
  • Phone: 516-256-9523
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP144352
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: