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NPI Code Detail

MEDICARE: DR. SAMANTHA ANN SCHWARTZ PSY.D.

MEDICARE: DR. SAMANTHA ANN SCHWARTZ PSY.D.
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
1103TS0200XSchool Psychologist018445NY

General Provider Information

NPI Number : 1134304157
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMANTHA ANN SCHWARTZ PSY.D.
Provider Business Mailing Address
First Line : 555 REMSEN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-1017
Country : US
Telephone Number : 718-495-3510
Fax Number :
Provider Business Practice Location Address
First Line : 555 REMSEN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-1017
Country : US
Telephone Number : 718-495-3510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2008
Last Update Date : 07/25/2012

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