MEDICARE: DR. BENJAMIN E SCHWARTZ DDS

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	1223G0001X	General Practice Dentistry	053559	NY

General Provider Information

NPI Number	:	1801074778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN E SCHWARTZ DDS

Provider Business Mailing Address
First Line	:	220 MADISON AVE
Second Line	:	OFFICE B
City	:	NEW YORK
State	:	NY
Zip	:	10016-3422
Country	:	US
Telephone Number	:	212-213-6622
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 MADISON AVE
Second Line	:	OFFICE B
City	:	NEW YORK
State	:	NY
Zip	:	10016-3422
Country	:	US
Telephone Number	:	212-213-6622
Fax Number	:

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

Provider Enumeration Date	:	02/03/2008
Last Update Date	:	04/12/2016

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