Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 288163-1 | NY |
NPI | 1013325349 |
---|---|
Provider Name | Dr. Matthew David Schwartz |
First Address | Bogota, NJ 07603-1238 |
Second Address | Bay Shore, NY 11706-8408 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2014 |
Last Update Date | 04/04/2017 |