Provider Demographics
NPI:1831869437
Name:CHARME, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:CHARME
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 PAVONIA AVE APT 8
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-1728
Mailing Address - Country:US
Mailing Address - Phone:908-418-3485
Mailing Address - Fax:
Practice Address - Street 1:225 BROADWAY STE 1570
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-3088
Practice Address - Country:US
Practice Address - Phone:929-324-7188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-15
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1166361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical