Provider Demographics
NPI:1477858579
Name:SCHWARTZ-KUSHNER, STEFANIE (AP)
Entity Type:Individual
Prefix:MRS
First Name:STEFANIE
Middle Name:
Last Name:SCHWARTZ-KUSHNER
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5630 OAKTREE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-6375
Mailing Address - Country:US
Mailing Address - Phone:305-450-5525
Mailing Address - Fax:
Practice Address - Street 1:5630 OAKTREE AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-6375
Practice Address - Country:US
Practice Address - Phone:305-450-5525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-20
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP465171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist