Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 038443 | NY |
NPI | 1073500849 |
---|---|
Provider Name | Dr. Steven Richard Schwartz |
First Address | Brooklyn, NY 11235-7900 |
Second Address | Brooklyn, NY 11235-7900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E45025 | (02) | NY |