Healthcare Provider Details

I. General information

NPI: 1457122780
Provider Name (Legal Business Name): JOSHUA J SCHWARTZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2024
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11247 QUEENS BLVD STE 107
FOREST HILLS NY
11375-7420
US

IV. Provider business mailing address

2502 86TH ST FL 3
BROOKLYN NY
11214-4440
US

V. Phone/Fax

Practice location:
  • Phone: 646-389-0611
  • Fax:
Mailing address:
  • Phone: 347-391-4250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: