Individual
MICHEL SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
49 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2628
(631) 751-3000
(631) 509-6559
Mailing address
1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
(631) 751-3000
(631) 509-6559
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309693
NY
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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