Provider Demographics
NPI:1982793055
Name:SCHWARTZ, JEFFREY MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:MICHAEL
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 EAST 71 STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4213
Mailing Address - Country:US
Mailing Address - Phone:212-535-6600
Mailing Address - Fax:212-327-2122
Practice Address - Street 1:73 EAST 71 STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4213
Practice Address - Country:US
Practice Address - Phone:212-535-6600
Practice Address - Fax:212-327-2122
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY116365174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY631611Medicare ID - Type Unspecified
NY1134499791Medicare UPIN
NYB78434Medicare UPIN