Provider Demographics
NPI:1497802888
Name:SCHWARTZBERG, HARVEY STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:STEVEN
Last Name:SCHWARTZBERG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:18 ROOSEVELT AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:PORT JEFFERSON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11776-3390
Mailing Address - Country:US
Mailing Address - Phone:631-928-3327
Mailing Address - Fax:631-828-5505
Practice Address - Street 1:18 ROOSEVELT AVE
Practice Address - Street 2:SUITE A
Practice Address - City:PORT JEFF STA
Practice Address - State:NY
Practice Address - Zip Code:11776-3390
Practice Address - Country:US
Practice Address - Phone:631-928-3327
Practice Address - Fax:631-828-5505
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY168664-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01010902Medicaid
NY110025655OtherRAIL ROAD MEDICARE
NY110025655OtherRAIL ROAD MEDICARE