Provider Demographics
NPI:1235402843
Name:SCHWARTZ, ELIZABETH K (LCAT MT-BC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:K
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LCAT MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-1509
Mailing Address - Country:US
Mailing Address - Phone:631-473-3140
Mailing Address - Fax:
Practice Address - Street 1:201 N COUNTRY RD
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-1509
Practice Address - Country:US
Practice Address - Phone:631-473-3140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLCAT000027101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health