Provider Demographics
NPI:1366637373
Name:SCHWARTZ, STEVEN J (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:736 E PARK AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-2605
Mailing Address - Country:US
Mailing Address - Phone:516-889-1424
Mailing Address - Fax:516-432-3161
Practice Address - Street 1:736 E PARK AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-2605
Practice Address - Country:US
Practice Address - Phone:516-889-1424
Practice Address - Fax:516-432-3161
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY097721204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11217OtherHIP
NY0086008OtherAETNA PPO
NY3019OtherVYTRA
NY62635OtherBCBS NY
NYAS513OtherOXFORD
NY00165504Medicaid
P00169730OtherMEDICARE RAILROAD
NY0081376OtherGHI
NY3019OtherVYTRA
NY11217OtherHIP