Organization
MARY MANNING WALSH HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOT SCHWARTZ M.D (PHYSICIAN)
(212) 628-2800
Entity
Organization
Contact information
Practice address
1339 YORK AVE, NEW YORK, NY 10021-4707
(212) 628-2800
Mailing address
250 1ST AVE APT 11E, NEW YORK, NY 10009-2614
(646) 669-8313
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
F305903-1
NY
Other
Enumeration date
03/21/2016
Last updated
03/21/2016
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