Provider Demographics
NPI:1942511357
Name:SCHWARTZ, WENDY M (MS)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:M
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 WOODMERE BLVD APT 1G
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2149
Mailing Address - Country:US
Mailing Address - Phone:516-569-3357
Mailing Address - Fax:
Practice Address - Street 1:141 WOODMERE BLVD
Practice Address - Street 2:APT. 1G
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-2162
Practice Address - Country:US
Practice Address - Phone:516-569-3357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3830427981174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist