Provider Demographics
NPI:1104982172
Name:SCHWARTZ, NAOMI (LCAT)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275A LATTINGTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LOCUST VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11560-1033
Mailing Address - Country:US
Mailing Address - Phone:516-351-1779
Mailing Address - Fax:516-671-0558
Practice Address - Street 1:275A LATTINGTOWN RD
Practice Address - Street 2:
Practice Address - City:LOCUST VALLEY
Practice Address - State:NY
Practice Address - Zip Code:11560-1033
Practice Address - Country:US
Practice Address - Phone:516-351-1779
Practice Address - Fax:516-671-0558
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000628221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist