Healthcare Provider Details

I. General information

NPI: 1679660914
Provider Name (Legal Business Name): HARRIET S LOIZEAUX FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HARRIET S SCHWARTZ FNP

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 KRUM RD
KERHONKSON NY
12446
US

IV. Provider business mailing address

130 KRUM RD
KERHONKSON NY
12446
US

V. Phone/Fax

Practice location:
  • Phone: 845-626-5069
  • Fax: 845-626-3532
Mailing address:
  • Phone: 845-626-5069
  • Fax: 845-626-3532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF3308111
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP014058
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: