Provider Demographics
NPI:1720447899
Name:SCHWARTZ, MAYA (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:MAYA
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MS
Other - First Name:MAYA
Other - Middle Name:
Other - Last Name:HAKAMI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:110 LIVINGSTON ST APT 12S
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5043
Mailing Address - Country:US
Mailing Address - Phone:347-291-7591
Mailing Address - Fax:
Practice Address - Street 1:171 MADISON AVE FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5123
Practice Address - Country:US
Practice Address - Phone:212-400-0383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-18
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038452-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist