Provider Demographics
NPI:1437567328
Name:SCHWARTZ, BLAIR DANA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BLAIR
Middle Name:DANA
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E 81ST ST
Mailing Address - Street 2:APT. 1B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-5811
Mailing Address - Country:US
Mailing Address - Phone:917-553-2184
Mailing Address - Fax:646-692-6857
Practice Address - Street 1:10 E END AVE
Practice Address - Street 2:SUITE 1N
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1106
Practice Address - Country:US
Practice Address - Phone:917-553-2184
Practice Address - Fax:646-692-6857
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-24
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020303-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist