Individual
DR. GERALD SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
554 LARKFIELD RD, EAST NORTHPORT, NY 11731-4205
(631) 368-1675
(631) 368-1740
Mailing address
554 LARKFIELD RD, EAST NORTHPORT, NY 11731-4205
(631) 368-1675
(631) 368-1740
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
024645
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00652240
—
NY
Enumeration date
11/01/2006
Last updated
02/05/2013
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