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NPI Code Detail

MEDICARE: MRS. MAYA SCHWARTZ PT, DPT

MEDICARE: MRS. MAYA SCHWARTZ PT, DPT
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
1225100000XPhysical Therapist038452-1NY

General Provider Information

NPI Number : 1720447899
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MAYA SCHWARTZ PT, DPT
Provider Business Mailing Address
First Line : 110 LIVINGSTON ST APT 12S
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-5043
Country : US
Telephone Number : 347-291-7591
Fax Number :
Provider Business Practice Location Address
First Line : 171 MADISON AVE FL 5
Second Line :
City : NEW YORK
State : NY
Zip : 10016-5123
Country : US
Telephone Number : 212-400-0383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2016
Last Update Date : 10/11/2018

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