Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 68-15434 | NY |
Y | 103TC0700X | Clinical Psychologist | 68-15434 | NY |
N | 102L00000X | Psychologist | 68-15434 | NY |
N | 103T00000X | Psychologist | 68-15434 | NY |
N | 103TA0700X | Adult Development & Aging Psychologist | 68-15434 | NY |
N | 103G00000X | Clinical Psychologist | 68-15434 | NY |
N | 103TC0700X | Clinical Psychologist | 68-15434 | NY |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 68-15434 | NY |
N | 103TF0200X | Forensic Psychologist | 68-15434 | NY |
N | 103TP0016X | Prescribing (Medical) | 68-15434 | NY |
NPI | 1134137631 |
---|---|
Provider Name | Dr. Michael E Schwartz |
First Address | Ferndale, NY 12734-4315 |
Second Address | Ferndale, NY 12734-4315 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 26/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02621736 | (05) | NY |
1039270 | BEACON/HUDSON HEALTH (01) | NY |
7027655 | AETNA (01) | |
779700000 | MAGELLAN (01) | |
P3404576 | OXFORD PROVIDER # (01) |