Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 232106 | NY |
N | 207X00000X | Orthopaedic Surgeon | 045346 | CT |
N | 207X00000X | Orthopaedic Surgeon | 232106 | NY |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 232106 | NY |
NPI | 1093767675 |
---|---|
Provider Name | Michael A Schwartz |
First Address | White Plains, NY 10604-2906 |
Second Address | White Plains, NY 10604-2906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 08/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I04123 | (02) | CT |