Provider Demographics
NPI:1366465536
Name:SCHWARTZ, PENNIE FAITH (DC)
Entity Type:Individual
Prefix:DR
First Name:PENNIE
Middle Name:FAITH
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 HEMPSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:MALVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11565-1225
Mailing Address - Country:US
Mailing Address - Phone:516-599-8523
Mailing Address - Fax:516-887-2569
Practice Address - Street 1:301 HEMPSTEAD AVE
Practice Address - Street 2:
Practice Address - City:MALVERNE
Practice Address - State:NY
Practice Address - Zip Code:11565-1225
Practice Address - Country:US
Practice Address - Phone:516-599-8523
Practice Address - Fax:516-887-2569
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0045711111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T52831Medicare UPIN
NYX24921Medicare ID - Type Unspecified