Provider Demographics
NPI:1740281369
Name:MEDICAL SPECIALISTS CONSULTANTS, PC
Entity type:Organization
Organization Name:MEDICAL SPECIALISTS CONSULTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-889-1424
Mailing Address - Street 1:761 FRANKLIN BLVD
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-2450
Mailing Address - Country:US
Mailing Address - Phone:516-889-1424
Mailing Address - Fax:516-432-3161
Practice Address - Street 1:761 FRANKLIN BLVD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-2450
Practice Address - Country:US
Practice Address - Phone:516-889-1424
Practice Address - Fax:516-432-3161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-04
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0977215174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP23872OtherHIP
NY06263510OtherBC/BS
NY0081376OtherGHI
NY3019OtherVYTRA
NYAS513OtherOXFORD
NY00165504Medicaid
NY0086008OtherAETNA INS.
NY3019OtherVYTRA
NY00165504Medicaid