MEDICARE: DR. WILLIAM JOEL 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	207W00000X	Ophthalmology Physician	106636	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RS249	OTHER	NY	OXFORD
2	1000063364	OTHER	NY	AFFINITY
3	0D0329	OTHER	NY	HEALTHNET
4	070119000064	OTHER	NY	FIDELIS
5	8290325	OTHER	NY	CIGNA PPO
6	957211	OTHER	NY	BLUE CROSS BLUE SHIELD
7	000158212001	OTHER	NY	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1578524393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM JOEL SCHWARTZ M.D.

Provider Business Mailing Address
First Line	:	4 MEDICAL PARK DR
Second Line	:
City	:	POMONA
State	:	NY
Zip	:	10970-3516
Country	:	US
Telephone Number	:	845-354-6224
Fax Number	:	845-354-6335

Provider Business Practice Location Address
First Line	:	4 MEDICAL PARK DR
Second Line	:
City	:	POMONA
State	:	NY
Zip	:	10970-3516
Country	:	US
Telephone Number	:	845-354-6224
Fax Number	:	845-354-6335

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

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	05/19/2008

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