MEDICARE: DR. DAVID BARRY SCHWARTZ DC

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
1	111N00000X	Chiropractor	X0048641	NY
2	111N00000X	Chiropractor	MC00333700	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	350018019	OTHER		MEDICARE RAILROAD

General Provider Information

NPI Number	:	1235292699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID BARRY SCHWARTZ DC

Provider Business Mailing Address
First Line	:	24 GRANT AVENUE
Second Line	:
City	:	DUMONT
State	:	NJ
Zip	:	07628-1630
Country	:	US
Telephone Number	:	201-387-7463
Fax Number	:	201-387-2360

Provider Business Practice Location Address
First Line	:	24 GRANT AVENUE
Second Line	:
City	:	DUMONT
State	:	NJ
Zip	:	07628-1630
Country	:	US
Telephone Number	:	201-387-7463
Fax Number	:	201-387-2360

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	09/13/2022

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