Provider Demographics
NPI:1407829039
Name:SCHWARTZMAN, MICHAEL S (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:S
Last Name:SCHWARTZMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:99 E STATE ST
Mailing Address - Street 2:PO BOX 1250
Mailing Address - City:GLOVERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12078-1203
Mailing Address - Country:US
Mailing Address - Phone:518-775-4205
Mailing Address - Fax:518-773-5456
Practice Address - Street 1:99 EAST STATE ST
Practice Address - Street 2:MAB SUITE 106
Practice Address - City:GLOVERSVILLE
Practice Address - State:NY
Practice Address - Zip Code:12078
Practice Address - Country:US
Practice Address - Phone:518-775-4300
Practice Address - Fax:518-773-4309
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2017-04-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY143087207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6021187OtherMVP HEALTHPLAN
NY01163120Medicaid
NY000418601001OtherBSH NE NY
NY10031871OtherCDPHP
NY000418601001OtherBSH NE NY
B19476Medicare UPIN