Provider Demographics
NPI:1821164658
Name:SCHWINN, HANS DIETER (MD)
Entity Type:Individual
Prefix:
First Name:HANS
Middle Name:DIETER
Last Name:SCHWINN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:147 BEACH RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:WESTHAMPTON BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11978-1733
Mailing Address - Country:US
Mailing Address - Phone:631-288-7746
Mailing Address - Fax:631-288-7111
Practice Address - Street 1:147 BEACH RD
Practice Address - Street 2:SUITE A
Practice Address - City:WESTHAMPTON BEACH
Practice Address - State:NY
Practice Address - Zip Code:11978-1733
Practice Address - Country:US
Practice Address - Phone:631-288-7746
Practice Address - Fax:631-288-7111
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY142943207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1424946OtherUNITED HEALTHCARE
NY554868OtherUS HEALTHCARE
NYP46338023OtherMULTIPLAN
NY142943OtherWORKERS COMPENSATION
NY5902166OtherGHI
NY928837OtherHEALTHNET
NY200496OtherUNIFORMED SER.FAMILY HLTH
NY4460333OtherAETNA
NY2C4001OtherPHYSICIANS HEALTH SERVICE
NY38359OtherCIGNA
NY42A681OtherBLUE CHOICE
NY00653416Medicaid
NY080091810OtherRAILROAD MEDICARE
NY200496OtherTRICARE
NYCP579OtherOXFORD
NYC09683Medicare UPIN
NY00653416Medicaid