Provider Demographics
NPI:1578524393
Name:SCHWARTZ, WILLIAM JOEL (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOEL
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3516
Mailing Address - Country:US
Mailing Address - Phone:845-354-6224
Mailing Address - Fax:845-354-6335
Practice Address - Street 1:4 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3516
Practice Address - Country:US
Practice Address - Phone:845-354-6224
Practice Address - Fax:845-354-6335
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY106636207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRS249OtherOXFORD
NY1000063364OtherAFFINITY
NY0D0329OtherHEALTHNET
NY070119000064OtherFIDELIS
NY8290325OtherCIGNA PPO
NY957211OtherBLUE CROSS BLUE SHIELD
NY000158212001OtherUNITED HEALTHCARE
NY070119000064OtherFIDELIS