MEDICARE: ITCHAK SCHWARZBARD 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	207X00000X	Orthopaedic Surgery Physician	233742	NY
2	207XS0106X	Orthopaedic Hand Surgery Physician	233742	NY

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	:	1740227842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ITCHAK SCHWARZBARD M.D.

Provider Business Mailing Address
First Line	:	285 SILLS RD BLDG 18
Second Line	:
City	:	EAST PATCHOGUE
State	:	NY
Zip	:	11772-4808
Country	:	US
Telephone Number	:	631-475-1224
Fax Number	:	631-475-1588

Provider Business Practice Location Address
First Line	:	285 SILLS RD BLDG 18
Second Line	:
City	:	EAST PATCHOGUE
State	:	NY
Zip	:	11772-4808
Country	:	US
Telephone Number	:	631-475-1224
Fax Number	:	631-475-1588

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

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	08/15/2019

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