MEDICARE: DR. LESLIE HARRY SCHWARTZ M.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
1	2084P0800X	Psychiatry Physician	MA03055900	NJ

General Provider Information

NPI Number	:	1356319586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LESLIE HARRY SCHWARTZ M.D.

Provider Business Mailing Address
First Line	:	1412 VILLA JUNO DR S
Second Line	:
City	:	JUNO BEACH
State	:	FL
Zip	:	33408-2438
Country	:	US
Telephone Number	:	561-694-8119
Fax Number	:	561-691-0079

Provider Business Practice Location Address
First Line	:	VA MEDICAL CENTER
Second Line	:	7305 N. MILITARY TRAIL
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33410-6400
Country	:	US
Telephone Number	:	561-422-6395
Fax Number	:	561-422-6992

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/08/2007

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