Healthcare Provider Details

I. General information

NPI: 1689369126
Provider Name (Legal Business Name): EMILY CUKOR LOSEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2023
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E 14TH ST APT 6B
NEW YORK NY
10009-3007
US

IV. Provider business mailing address

525 E 14TH ST APT 6B
NEW YORK NY
10009-3007
US

V. Phone/Fax

Practice location:
  • Phone: 917-767-6587
  • Fax:
Mailing address:
  • Phone: 917-767-6587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number103256
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: