Healthcare Provider Details

I. General information

NPI: 1851346043
Provider Name (Legal Business Name): DAVID LAWRENCE SCHWARTZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 04/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 POLY PL SUITE 114A
BROOKLYN NY
11209-7104
US

IV. Provider business mailing address

3 VICTORIAN LN
BROOKVILLE NY
11545-3322
US

V. Phone/Fax

Practice location:
  • Phone: 718-630-3605
  • Fax:
Mailing address:
  • Phone: 516-433-2592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number180048
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: