MEDICARE: MENUCHA SCHWARTZ

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	225XP0200X	Pediatric Occupational Therapist	023658-2	NY

General Provider Information

NPI Number	:	1588218705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MENUCHA SCHWARTZ

Provider Business Mailing Address
First Line	:	730 EMPIRE BLVD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11213-5309
Country	:	US
Telephone Number	:	323-428-4890
Fax Number	:

Provider Business Practice Location Address
First Line	:	532 NEW YORK AVE APT 3
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-4308
Country	:	US
Telephone Number	:	323-428-4890
Fax Number	:

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

Provider Enumeration Date	:	07/25/2019
Last Update Date	:	07/25/2019

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Directions to “ MENUCHA SCHWARTZ ” Practice Location

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