MEDICARE: NICHOLAS A. SCHWARTZ 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	207P00000X	Emergency Medicine Physician	214514	NY
2	2084P0800X	Psychiatry Physician	214514	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	:	1962419440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS A. SCHWARTZ M.D.

Provider Business Mailing Address
First Line	:	156 5TH AVE
Second Line	:	SUITE 414
City	:	NEW YORK
State	:	NY
Zip	:	10010-7002
Country	:	US
Telephone Number	:	212-465-2562
Fax Number	:	212-675-2975

Provider Business Practice Location Address
First Line	:	156 5TH AVE
Second Line	:	SUITE 414
City	:	NEW YORK
State	:	NY
Zip	:	10010-7002
Country	:	US
Telephone Number	:	212-465-2562
Fax Number	:	212-675-2975

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	10/23/2007

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