Provider Demographics
NPI:1881668192
Name:SCHWARTZ, MARK AARON (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:AARON
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 HOLLOW LANE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1220
Mailing Address - Country:US
Mailing Address - Phone:516-869-8346
Mailing Address - Fax:516-773-6133
Practice Address - Street 1:1 HOLLOW LN
Practice Address - Street 2:SUITE 210
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1220
Practice Address - Country:US
Practice Address - Phone:516-869-8346
Practice Address - Fax:516-773-6133
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2014-03-19
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Provider Licenses
StateLicense IDTaxonomies
NY184606208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG02826Medicare UPIN