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NPI Code Detail

MEDICARE: MISS MIKAELA ELIANA SCHWARTZ

MEDICARE:  MISS MIKAELA ELIANA SCHWARTZ
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1619566312
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MIKAELA ELIANA SCHWARTZ
Provider Business Mailing Address
First Line : 236 ISLAND PKWY W
Second Line :
City : ISLAND PARK
State : NY
Zip : 11558-1324
Country : US
Telephone Number : 516-318-9939
Fax Number :
Provider Business Practice Location Address
First Line : 1444 5TH AVE
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-4147
Country : US
Telephone Number : 631-647-3368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2021
Last Update Date : 01/20/2026

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Directions to “ MISS MIKAELA ELIANA SCHWARTZ ” Practice Location

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