Healthcare Provider Details

I. General information

NPI: 1073500849
Provider Name (Legal Business Name): STEVEN RICHARD SCHWARTZ DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2844 OCEAN PKWY SUITE B-2
BROOKLYN NY
11235-7900
US

IV. Provider business mailing address

2844 OCEAN PKWY SUITE B-2
BROOKLYN NY
11235-7900
US

V. Phone/Fax

Practice location:
  • Phone: 718-946-6600
  • Fax: 718-996-2261
Mailing address:
  • Phone: 718-946-6600
  • Fax: 718-996-2261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number038443
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: