Provider Demographics
NPI:1619242625
Name:KARYS, PETER TODD (LMSW)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:TODD
Last Name:KARYS
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 CHRISTOPHER ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-3518
Mailing Address - Country:US
Mailing Address - Phone:917-838-6985
Mailing Address - Fax:212-660-1327
Practice Address - Street 1:27 CHRISTOPHER ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-3518
Practice Address - Country:US
Practice Address - Phone:917-838-6985
Practice Address - Fax:212-660-1327
Is Sole Proprietor?:No
Enumeration Date:2012-03-09
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY079325104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker