1043389380 NPI number — HOWARD S SCHWARTZ MD PC

Table of content: RICHIE EVANS TURNER (NPI 1508590290)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043389380 NPI number — HOWARD S SCHWARTZ MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOWARD S SCHWARTZ MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043389380
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/26/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3201 GRAND CONCOURSE
Provider Second Line Business Mailing Address:
SUITE 1-L
Provider Business Mailing Address City Name:
BRONX
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10468
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-933-3388
Provider Business Mailing Address Fax Number:
718-733-5123

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3201 GRAND CONCOURSE
Provider Second Line Business Practice Location Address:
SUITE 1-L
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10468-1226
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-933-3388
Provider Business Practice Location Address Fax Number:
718-733-5123
Provider Enumeration Date:
11/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SCHWARTZ
Authorized Official First Name:
HOWARD
Authorized Official Middle Name:
STANLEY
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
718-933-3388

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  080105 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 177121 . This is a "MEDICARE NSC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 177121 . This is a "MEDICARE PTAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: HS01771210 . This is a "EMPIRE BLUE CROSS AND BLUE SHIELD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 177121 . This is a "MEDICARE PIN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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