Provider Demographics
NPI:1235325721
Name:SCHWARTZ, ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
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 1:200 E 84TH ST
Mailing Address - Street 2:APT. 15H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-2906
Mailing Address - Country:US
Mailing Address - Phone:212-570-1023
Mailing Address - Fax:
Practice Address - Street 1:200 E 84TH ST
Practice Address - Street 2:APT. 15H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-2906
Practice Address - Country:US
Practice Address - Phone:212-570-1023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0878892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY174671Medicare PIN
NYE48983Medicare UPIN