Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 097721 | NY |
NPI | 1366637373 |
---|---|
Provider Name | Dr. Steven J Schwartz |
First Address | Long Beach, NY 11561-2605 |
Second Address | Long Beach, NY 11561-2605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2007 |
Last Update Date | 15/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00165504 | (05) | NY |
0081376 | GHI (01) | NY |
0086008 | AETNA PPO (01) | NY |
11217 | HIP (01) | NY |
3019 | VYTRA (01) | NY |
62635 | BCBS NY (01) | NY |
AS513 | OXFORD (01) | NY |
C11587 | (02) | |
P00169730 | MEDICARE RAILROAD (01) |