Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 181505 | NY |
Y | 208600000X | Surgeon | 181505 | NY |
NPI | 1013915784 |
---|---|
Provider Name | Dr. Michael Lawrence Schwartz |
First Address | Pomona, NY 10970-3516 |
Second Address | Pomona, NY 10970-3516 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 09/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01457712 | (05) | NY |
F76443 | (02) |