Provider Demographics
NPI:1881925980
Name:GOLDFARB-SCHWARTZ, ARLENE
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:GOLDFARB-SCHWARTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 YELLOWBRICK RD
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-3335
Mailing Address - Country:US
Mailing Address - Phone:732-496-7228
Mailing Address - Fax:
Practice Address - Street 1:607 YELLOWBRICK RD
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3335
Practice Address - Country:US
Practice Address - Phone:732-496-7228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00233800225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist