# MARA G SCHWARTZ DC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053576249
- **Authorized official:** MARA G SCHWARTZ DC (SOLE PROPRIETOR)
- **Authorized official phone:** (315) 637-4145

## Contact information

- **Practice address:** 114 WELLWOOD DR, FAYETTEVILLE, NY 13066-2353
- **Practice address phone:** (315) 637-4145
- **Mailing address:** 114 WELLWOOD DR, FAYETTEVILLE, NY 13066-2353
- **Mailing address phone:** (315) 637-4145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X007994-1 | NY | Yes |

## Other

- **Enumeration date:** 07/28/2008
- **Last updated:** 07/28/2008