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General NPI Number Information
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NPI Number | 1063542769
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Entity Type | Organization
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Legal Business Name | JOSH SCHWARTZBERG D.O.
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2885 ESSEX RD
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City | ESSEX
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State | NY
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Zip | 12936-2317
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Country | US
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Telephone | 518-963-4007
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Fax |
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Provider Business Mailing Address
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Address Line | 2885 ESSEX RD
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City | ESSEX
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State | NY
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Zip | 12936-2317
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSH SCHWARTZBERG
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Credential |
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Telephone | 518-523-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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