Provider Demographics
NPI:1659338325
Name:SCHWARTZ, ARLENE ELLEN (OD)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:ELLEN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6944 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1723
Mailing Address - Country:US
Mailing Address - Phone:718-520-8055
Mailing Address - Fax:718-520-8056
Practice Address - Street 1:9808 METROPOLITAN AVE
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-6628
Practice Address - Country:US
Practice Address - Phone:718-520-8055
Practice Address - Fax:718-520-8056
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUTOO5028152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01435363Medicaid
NY74041AMedicare PIN
NY0713390001Medicare NSC
NY01435363Medicaid
NYC43301Medicare PIN
NYU10236Medicare UPIN