Provider Demographics
NPI:1477754422
Name:HARA J. SCHWARTZ, M.D., PLLC
Entity Type:Organization
Organization Name:HARA J. SCHWARTZ, M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHWARZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-896-5140
Mailing Address - Street 1:4 LAFAYETTE CT
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-3036
Mailing Address - Country:US
Mailing Address - Phone:845-896-5140
Mailing Address - Fax:845-896-8793
Practice Address - Street 1:4 LAFAYETTE CT
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-3036
Practice Address - Country:US
Practice Address - Phone:845-896-5140
Practice Address - Fax:845-896-8793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198370207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW65421Medicare PIN