Healthcare Provider Details

I. General information

NPI: 1497930481
Provider Name (Legal Business Name): THOMAS P. SCHWARTZ PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2008
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 HOLLAND AVE STE 6
ALBANY NY
12208-3410
US

IV. Provider business mailing address

121 BEDFORD CT
VOORHEESVILLE NY
12186-9578
US

V. Phone/Fax

Practice location:
  • Phone: 518-626-5000
  • Fax:
Mailing address:
  • Phone: 201-410-3514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number017398-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: