Provider Demographics
NPI:1366628141
Name:SCHWARTZBACH, SYBIL R (LMT)
Entity Type:Individual
Prefix:MS
First Name:SYBIL
Middle Name:R
Last Name:SCHWARTZBACH
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 JORDAN RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-8544
Mailing Address - Country:US
Mailing Address - Phone:518-283-1533
Mailing Address - Fax:
Practice Address - Street 1:12 JORDAN RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-8544
Practice Address - Country:US
Practice Address - Phone:518-283-1533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-11
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005453-1172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist