MEDICARE: DR. ANNA SCHWARTZ MD

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	208000000X	Pediatrics Physician	218422	NY

General Provider Information

NPI Number	:	1871590687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNA SCHWARTZ MD

Provider Business Mailing Address
First Line	:	239 BOYLE ROAD, SUITE 7
Second Line	:
City	:	SELDEN
State	:	NY
Zip	:	11784
Country	:	US
Telephone Number	:	631-698-0600
Fax Number	:	631-698-2212

Provider Business Practice Location Address
First Line	:	239 BOYLE ROAD, SUITE 7
Second Line	:
City	:	SELDEN
State	:	NY
Zip	:	11784
Country	:	US
Telephone Number	:	631-698-0600
Fax Number	:	631-698-2212

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	04/12/2018

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