Provider Demographics
NPI:1063015675
Name:SCHWARTZ, JAMIE LEE (PA-C)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:LEE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 E 63RD ST APT 7F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7645
Mailing Address - Country:US
Mailing Address - Phone:425-691-0911
Mailing Address - Fax:
Practice Address - Street 1:800 2ND AVE FL 9
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-4709
Practice Address - Country:US
Practice Address - Phone:212-991-9991
Practice Address - Fax:888-331-9568
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant