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NPI Code Detail

MEDICARE: MR. MICHAEL BARNETT SCHWARTZ LCSW-R

MEDICARE: MR. MICHAEL BARNETT SCHWARTZ LCSW-R
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerR045131-1NY

General Provider Information

NPI Number : 1114021672
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL BARNETT SCHWARTZ LCSW-R
Provider Business Mailing Address
First Line : 14 SYLVIA LN
Second Line :
City : PLAINVIEW
State : NY
Zip : 11803-4802
Country : US
Telephone Number : 516-938-5830
Fax Number :
Provider Business Practice Location Address
First Line : 1342 56TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4616
Country : US
Telephone Number : 718-851-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2006
Last Update Date : 07/08/2007

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