Healthcare Provider Details

I. General information

NPI: 1932800471
Provider Name (Legal Business Name): CARLY SCHWARTZMAN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2023
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

756 MADISON AVE STE 100
ALBANY NY
12208-3823
US

IV. Provider business mailing address

756 MADISON AVE STE 100
ALBANY NY
12208-3823
US

V. Phone/Fax

Practice location:
  • Phone: 518-218-6684
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number026084
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: