Provider Demographics
NPI:1043380371
Name:KARSHMER, GARY CHARLES (LCSW)
Entity Type:Individual
Prefix:MR
First Name:GARY
Middle Name:CHARLES
Last Name:KARSHMER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 W 9TH ST APT 2A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8916
Mailing Address - Country:US
Mailing Address - Phone:212-982-5849
Mailing Address - Fax:646-602-2417
Practice Address - Street 1:32 W 9TH ST APT 2A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8916
Practice Address - Country:US
Practice Address - Phone:212-982-5849
Practice Address - Fax:646-602-2417
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074170-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical