Healthcare Provider Details

I. General information

NPI: 1033038955
Provider Name (Legal Business Name): GABRIELLE ALEXA KATZ LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 BROADWAY FL 4
NEW YORK NY
10279-0605
US

IV. Provider business mailing address

28 LORETTA DR
SYOSSET NY
11791-5819
US

V. Phone/Fax

Practice location:
  • Phone: 212-281-6531
  • Fax:
Mailing address:
  • Phone: 516-314-5418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number132072
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: