Provider Demographics
NPI:1902024805
Name:SCHWARTZ-JACOBS, SHIRAH ROBYN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHIRAH
Middle Name:ROBYN
Last Name:SCHWARTZ-JACOBS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHIRAH
Other - Middle Name:ROBYN
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:166 LATCHES LN
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-3015
Mailing Address - Country:US
Mailing Address - Phone:917-623-7332
Mailing Address - Fax:
Practice Address - Street 1:40 W 72ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4119
Practice Address - Country:US
Practice Address - Phone:212-980-9800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD428486207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology