Provider Demographics
NPI:1083783864
Name:SCHWARTZ, EUNICE LEDERMAN (MA CSW)
Entity Type:Individual
Prefix:MRS
First Name:EUNICE
Middle Name:LEDERMAN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MA CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 RIVERSIDE DR
Mailing Address - Street 2:APT 7C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6145
Mailing Address - Country:US
Mailing Address - Phone:212-662-7283
Mailing Address - Fax:212-662-2473
Practice Address - Street 1:27 W 96TH ST
Practice Address - Street 2:SUITE 1A1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6145
Practice Address - Country:US
Practice Address - Phone:212-749-3867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR04467511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN6B671Medicare ID - Type UnspecifiedMEDICARE