Provider Demographics
NPI:1326218918
Name:SCHWARTZ, STEFANIE ROBIN (MS, RD, CDN)
Entity Type:Individual
Prefix:MS
First Name:STEFANIE
Middle Name:ROBIN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MS, RD, CDN
Other - Prefix:
Other - First Name:STEFANIE
Other - Middle Name:ROBIN
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:400 KING ST
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-3500
Mailing Address - Country:US
Mailing Address - Phone:914-238-6415
Mailing Address - Fax:914-238-6415
Practice Address - Street 1:400 KING ST
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-3500
Practice Address - Country:US
Practice Address - Phone:914-238-6415
Practice Address - Fax:914-238-6415
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004675-1133N00000X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered