MEDICARE: MARK L SCHWARTZ D.P.M.

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	213EP1101X	Primary Podiatric Medicine Podiatrist	N003034	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	P32871	OTHER	EMPIRE BLUE CROSS
2	0002764	OTHER	GROUP HEALTH INCORPORATED
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811175102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK L SCHWARTZ D.P.M.

Provider Business Mailing Address
First Line	:	247 BAY 22 ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-6105
Country	:	US
Telephone Number	:	718-372-2282
Fax Number	:	718-449-5639

Provider Business Practice Location Address
First Line	:	247 BAY 22 STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-6105
Country	:	US
Telephone Number	:	718-372-2282
Fax Number	:	718-449-5639

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

Provider Enumeration Date	:	02/08/2008
Last Update Date	:	12/24/2008

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