MEDICARE: DR. STEVEN J SCHWARTZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	097721	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	P00169730	OTHER		MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11217	OTHER	NY	HIP
2	0086008	OTHER	NY	AETNA PPO
3	3019	OTHER	NY	VYTRA
4	62635	OTHER	NY	BCBS NY
5	AS513	OTHER	NY	OXFORD
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	0081376	OTHER	NY	GHI

General Provider Information

NPI Number	:	1366637373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN J SCHWARTZ M.D.

Provider Business Mailing Address
First Line	:	736 E PARK AVE
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-2605
Country	:	US
Telephone Number	:	516-889-1424
Fax Number	:	516-432-3161

Provider Business Practice Location Address
First Line	:	736 E PARK AVE
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-2605
Country	:	US
Telephone Number	:	516-889-1424
Fax Number	:	516-432-3161

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2007
Last Update Date	:	07/15/2008

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