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NPI Code Detail

MEDICARE: BRUCE J SCHWARTZ MD

MEDICARE:   BRUCE J SCHWARTZ  MD
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
12084P0800XPsychiatry Physician127912NY

General Provider Information

NPI Number : 1861562977
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE J SCHWARTZ MD
Provider Business Mailing Address
First Line : 39 SHELDON ST
Second Line :
City : ARDSLEY
State : NY
Zip : 10502-2504
Country : US
Telephone Number : 718-920-4040
Fax Number : 718-798-1816
Provider Business Practice Location Address
First Line : MMC - DEPT. OF PSYCHIATRY
Second Line : 3317 ROCHAMBEAU AVENUE
City : BRONX
State : NY
Zip : 10467
Country : US
Telephone Number : 718-920-4040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 07/08/2007

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