Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QG0300X | Family Doctor - Geriatric Medicine | 167071 | NY |
N | 207R00000X | Internist | 167071 | NY |
N | 111NI0900X | Internist | 167071 | NY |
N | 207RG0100X | Gastroenterologist | 167071 | NY |
NPI | 1215977806 |
---|---|
Provider Name | Dr. Jerrold F Schwartz |
First Address | Spring Valley, NY 10977-1960 |
Second Address | Spring Valley, NY 10977-1960 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01421705 | (05) | NY |
A60108 | (02) | NY |