Provider Demographics
NPI:1528360302
Name:SCHWARTZMAN, MAX ARIEL (PA-C)
Entity Type:Individual
Prefix:MR
First Name:MAX
Middle Name:ARIEL
Last Name:SCHWARTZMAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 W 86TH ST APT 4B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4030
Mailing Address - Country:US
Mailing Address - Phone:347-610-8444
Mailing Address - Fax:
Practice Address - Street 1:156 W 86TH ST APT 4B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4030
Practice Address - Country:US
Practice Address - Phone:347-610-8444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013767 DUP363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant