Provider Demographics
NPI:1215092762
Name:KAUFMAN, KAREN (LCSW PHD)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:LCSW PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 E 72ND ST
Mailing Address - Street 2:LOBBY SUITE
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-639-9614
Mailing Address - Fax:914-576-1208
Practice Address - Street 1:132 E 72ND ST
Practice Address - Street 2:LOBBY SUITE
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-639-9614
Practice Address - Fax:914-576-1208
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR02689411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
P805401OtherOXFORD
N25861Medicare ID - Type Unspecified