Provider Demographics
NPI:1144583303
Name:SCHWARTZ, NANCY QUINLAN (MS)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:QUINLAN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 BAYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-1561
Mailing Address - Country:US
Mailing Address - Phone:631-271-1175
Mailing Address - Fax:
Practice Address - Street 1:146 BAYVIEW DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-1561
Practice Address - Country:US
Practice Address - Phone:631-271-1175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY340534901174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist