Provider Demographics
NPI:1306003405
Name:YOON-SCHWARTZ, DIANA Y (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:Y
Last Name:YOON-SCHWARTZ
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 NEW STREET
Mailing Address - Street 2:SUITE 130
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743
Mailing Address - Country:US
Mailing Address - Phone:631-923-2090
Mailing Address - Fax:631-532-1371
Practice Address - Street 1:77 NEW STREET
Practice Address - Street 2:SUITE 403
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3555
Practice Address - Country:US
Practice Address - Phone:631-923-2090
Practice Address - Fax:631-532-1371
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-18
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY243261208600000X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery