Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CH9686 | FL |
NPI | 1942309984 |
---|---|
Provider Name | Dr. Jay Howard Schwartz |
First Address | Bradenton, FL 34203-3442 |
Second Address | Bradenton, FL 34203-3442 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 11/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T52280 | (02) | NY |