Provider Demographics
NPI:1083610737
Name:SCHWARTZ, ELON NARDI (MD)
Entity Type:Individual
Prefix:
First Name:ELON
Middle Name:NARDI
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 NORDICA DR
Mailing Address - Street 2:
Mailing Address - City:CROTON
Mailing Address - State:NY
Mailing Address - Zip Code:10520
Mailing Address - Country:US
Mailing Address - Phone:914-715-6874
Mailing Address - Fax:914-862-0495
Practice Address - Street 1:80 NORDICA DR
Practice Address - Street 2:
Practice Address - City:CROTON
Practice Address - State:NY
Practice Address - Zip Code:10520
Practice Address - Country:US
Practice Address - Phone:914-715-6874
Practice Address - Fax:914-862-0495
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1279522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00301051Medicaid
NY00301051Medicaid
NY45A722Medicare PIN