MEDICARE: SHIRA SCHWARTZ EDM

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	103TS0200X	School Psychologist		NY
2	103TS0200X	School Psychologist		CT

General Provider Information

NPI Number	:	1760340574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIRA SCHWARTZ EDM

Provider Business Mailing Address
First Line	:	320 STRAWBERRY HILL AVE APT 17
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-2580
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 STRAWBERRY HILL AVE APT 17
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-2580
Country	:	US
Telephone Number	:	516-503-8706
Fax Number	:

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

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ SHIRA SCHWARTZ EDM” Practice Location

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