Healthcare Provider Details

I. General information

NPI: 1811005564
Provider Name (Legal Business Name): SCHWARTZ & PATTEN, DDS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 CLARK HTS
PLEASANT VALLEY NY
12569-7757
US

IV. Provider business mailing address

PO BOX 634 7 CLARK HEIGHTS
PLEASANT VALLEY NY
12569-0634
US

V. Phone/Fax

Practice location:
  • Phone: 845-635-8158
  • Fax: 845-635-1539
Mailing address:
  • Phone: 845-635-8158
  • Fax: 845-635-1539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MS. MARILYN T SCHWARTZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 845-635-8158