Healthcare Provider Details

I. General information

NPI: 1841333804
Provider Name (Legal Business Name): ALAN MARK SCHWIMMER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 08/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 UNION SQ E
NEW YORK NY
10003-3314
US

IV. Provider business mailing address

10 UNION SQ E # 5B
NEW YORK NY
10003-3314
US

V. Phone/Fax

Practice location:
  • Phone: 212-844-6852
  • Fax: 212-844-6975
Mailing address:
  • Phone: 212-844-6852
  • Fax: 212-844-6975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number027747
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: