Individual
STACY BROOKE SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
275 GRAMERCY DR, JERICHO, NY 11753-1829
(516) 456-1828
Mailing address
275 GRAMERCY DR, JERICHO, NY 11753-1829
(516) 456-1828
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
017961-1
NY
Other
Enumeration date
08/22/2013
Last updated
11/05/2015
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