Healthcare Provider Details

I. General information

NPI: 1033361415
Provider Name (Legal Business Name): ROBERT M. SCHWARCZ, M.D., PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2008
Last Update Date: 09/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 E 79TH ST
NEW YORK NY
10075-0276
US

IV. Provider business mailing address

50 E 79TH ST
NEW YORK NY
10075-0276
US

V. Phone/Fax

Practice location:
  • Phone: 212-396-4400
  • Fax: 212-517-2828
Mailing address:
  • Phone: 212-396-4400
  • Fax: 212-517-2828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License Number222595
License Number StateNY

VIII. Authorized Official

Name: ROBERT SCHWARCZ
Title or Position: PRESIDENT
Credential: M.D.
Phone: 212-396-4400