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General NPI Number Information
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NPI Number | 1205081536
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Entity Type | Organization
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Legal Business Name | MICHAEL SCHWARTZ, M.D., P.C.
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Dates
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Enumeration Date | 12/01/2008
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Last Update Date | 10/24/2012
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Provider Practice Location Address
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Address Line | 150 BROADHOLLOW RD SUITE 204
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City | MELVILLE
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State | NY
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Zip | 11747-4905
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Country | US
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Telephone | 631-385-3313
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Fax | 631-385-3346
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Provider Business Mailing Address
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Address Line | 150 BROADHOLLOW RD SUITE 204
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City | MELVILLE
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State | NY
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Zip | 11747-4905
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Country | US
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Telephone | 631-385-3313
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Fax | 631-385-3346
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL SCHWARTZ
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Credential | MD
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Telephone | 631-495-1745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 138285
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License Number State | NY
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