MEDICARE: MS. ELIZABETH SCHWARTZ MS CCC SLP

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	235Z00000X	Speech-Language Pathologist	007539-1	NY

General Provider Information

NPI Number	:	1598089948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH SCHWARTZ MS CCC SLP

Provider Business Mailing Address
First Line	:	21-36 33 ROAD
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11106-4248
Country	:	US
Telephone Number	:	718-728-7292
Fax Number	:

Provider Business Practice Location Address
First Line	:	21-36 33 ROAD
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11106-4248
Country	:	US
Telephone Number	:	718-728-7292
Fax Number	:

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

Provider Enumeration Date	:	03/15/2010
Last Update Date	:	12/26/2013

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