MEDICARE: DR. SHERRY Z SCHWARTZ PHD

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	103T00000X	Psychologist	008769	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	100279FC	OTHER	PREFERRED CARE
2	P010008769	OTHER	BLUE CROSS BLUE SHIELD
3	5811212	OTHER	AETNA

General Provider Information

NPI Number	:	1750475943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHERRY Z SCHWARTZ PHD

Provider Business Mailing Address
First Line	:	132 ALLENS CREEK RD
Second Line	:	STE 210
City	:	ROCHESTER
State	:	NY
Zip	:	14618-3310
Country	:	US
Telephone Number	:	585-586-1810
Fax Number	:	585-586-7951

Provider Business Practice Location Address
First Line	:	132 ALLENS CREEK RD
Second Line	:	STE 210
City	:	ROCHESTER
State	:	NY
Zip	:	14618-3310
Country	:	US
Telephone Number	:	585-586-1810
Fax Number	:	585-586-7951

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	10/28/2019

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