Provider Demographics
NPI:1922164896
Name:BRUMER, KAREN (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:BRUMER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 W 91ST ST
Mailing Address - Street 2:11G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-1314
Mailing Address - Country:US
Mailing Address - Phone:212-799-6918
Mailing Address - Fax:
Practice Address - Street 1:165 W 91ST ST
Practice Address - Street 2:11G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-1314
Practice Address - Country:US
Practice Address - Phone:212-799-6918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR02233111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
N25951Medicare PIN