MEDICARE: HARA J. SCHWARTZ, M.D., PLLC

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	207N00000X	Dermatology Physician	198370	NY

General Provider Information

NPI Number	:	1477754422
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARA J. SCHWARTZ, M.D., PLLC

Provider Business Mailing Address
First Line	:	4 LAFAYETTE CT
Second Line	:
City	:	FISHKILL
State	:	NY
Zip	:	12524-3036
Country	:	US
Telephone Number	:	845-896-5140
Fax Number	:	845-896-8793

Provider Business Practice Location Address
First Line	:	4 LAFAYETTE CT
Second Line	:
City	:	FISHKILL
State	:	NY
Zip	:	12524-3036
Country	:	US
Telephone Number	:	845-896-5140
Fax Number	:	845-896-8793

Authorized Official
Title or Position	:	SOLE OWNER
Name	:	DR. HARA J SCHWARZ
Credential	:	M.D.
Telephone Number	:	845-896-5140

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	11/02/2007

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