Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 158125-1 | NY |
NPI | 1013927565 |
---|---|
Provider Name | Richard B Schwarz |
First Address | Huntington, NY 11743-2779 |
Second Address | Huntington, NY 11743-2779 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 02/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01198392 | (05) | NY |
24D471 | BLUE CROSS/ BLUE SHIELD (01) | NY |
2511693 | GHI (01) | NY |
2C4961 | HEALTHNET (01) | NY |
A61459 | (02) | NY |
CP329 | OXFORD (01) | NY |