Healthcare Provider Details

I. General information

NPI: 1851224703
Provider Name (Legal Business Name): EMILY NOVICK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 S MAIN ST
NEW CITY NY
10956-3511
US

IV. Provider business mailing address

77 S MAIN ST
NEW CITY NY
10956-3511
US

V. Phone/Fax

Practice location:
  • Phone: 845-634-5729
  • Fax:
Mailing address:
  • Phone: 845-634-5729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP140724
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: