Provider Demographics
NPI:1104896208
Name:KALMAN, GARY (LCSW)
Entity type:Individual
Prefix:MR
First Name:GARY
Middle Name:
Last Name:KALMAN
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 1:425 NEPTUNE AVE
Mailing Address - Street 2:APARTMENT 8G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-4559
Mailing Address - Country:US
Mailing Address - Phone:718-372-5202
Mailing Address - Fax:
Practice Address - Street 1:425 NEPTUNE AVE
Practice Address - Street 2:APARTMENT 8G
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-4559
Practice Address - Country:US
Practice Address - Phone:718-372-5202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2017-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLCSW 031891-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN03681Medicare ID - Type Unspecified