Provider Demographics
NPI:1891705455
Name:SCHWARTZ, HARA JOY (MD)
Entity Type:Individual
Prefix:DR
First Name:HARA
Middle Name:JOY
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-0066
Mailing Address - Country:US
Mailing Address - Phone:845-896-5140
Mailing Address - Fax:845-896-5144
Practice Address - Street 1:400 WESTAGE BUSINESS CTR DR
Practice Address - Street 2:SUITE 203
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2223
Practice Address - Country:US
Practice Address - Phone:845-896-5140
Practice Address - Fax:845-896-5144
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198370-1207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
56N77Medicare ID - Type Unspecified
G89226Medicare UPIN