MEDICARE: DR. HARVEY STEVEN SCHWARTZBERG 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	207R00000X	Internal Medicine Physician	168664-1	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110025655	OTHER	NY	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497802888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARVEY STEVEN SCHWARTZBERG M.D

Provider Business Mailing Address
First Line	:	18 ROOSEVELT AVE
Second Line	:	SUITE A
City	:	PORT JEFFERSON STATION
State	:	NY
Zip	:	11776-3390
Country	:	US
Telephone Number	:	631-928-3327
Fax Number	:	631-828-5505

Provider Business Practice Location Address
First Line	:	18 ROOSEVELT AVE
Second Line	:	SUITE A
City	:	PORT JEFF STA
State	:	NY
Zip	:	11776-3390
Country	:	US
Telephone Number	:	631-928-3327
Fax Number	:	631-828-5505

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

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	06/10/2016

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Directions to “ DR. HARVEY STEVEN SCHWARTZBERG M.D” Practice Location

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