Provider Demographics
NPI:1689640054
Name:SCHWARTZ, MYRON ELIOT (MD)
Entity Type:Individual
Prefix:MR
First Name:MYRON
Middle Name:ELIOT
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:ONE GUSTAVE L LEVY PLACE
Mailing Address - Street 2:BOX 1104
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-659-8084
Mailing Address - Fax:646-537-9238
Practice Address - Street 1:5 EAST 98TH ST
Practice Address - Street 2:12TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-659-8084
Practice Address - Fax:646-537-9238
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY146980204F00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01025310Medicaid
NY01025910Medicaid
NY97D88WR621Medicare PIN
B80164Medicare UPIN