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NPI 1861562977

NPI 1861562977 : BRUCE J SCHWARTZ MD : BRONX, NY

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General NPI Number Information
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    NPI Number           |    1861562977
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    Entity Type          |    Individual 
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    Provider Name        |    BRUCE J SCHWARTZ MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/08/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    MMC - DEPT. OF PSYCHIATRY 3317 ROCHAMBEAU AVENUE
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10467
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    Country              |    US
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    Telephone            |    718-920-4040
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    39 SHELDON ST 
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    City                 |    ARDSLEY
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    State                |    NY
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    Zip                  |    10502-2504
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    Country              |    US
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    Telephone            |    718-920-4040
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    Fax                  |    718-798-1816
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    127912
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    License Number State |    NY
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