Basic Information
| Provider Information | |||||||||
| NPI: | 1093767675 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHWARTZ | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 222 WESTCHESTER AVE | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | WHITE PLAINS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 106042906 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9149461010 | ||||||||
| FaxNumber: | 9149461025 | ||||||||
| Practice Location | |||||||||
| Address1: | 222 WESTCHESTER AVE | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | WHITE PLAINS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 106042906 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9149461010 | ||||||||
| FaxNumber: | 9149461025 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2006 | ||||||||
| LastUpdateDate: | 05/08/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 42365 | CT | N | Other Service Providers | Specialist | 174400000X | 232106 | NY | N | Other Service Providers | Specialist | 207X00000X | 045346 | CT | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | 232106 | NY | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207K00000X | 232106 | NY | N | Allopathic & Osteopathic Physicians | Allergy & Immunology | 207XX0005X | 232106 | NY | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine |
No ID Information.