Individual
IRA MARTIN SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2325 BELL BLVD, BAYSIDE, NY 11360-2056
(718) 225-6000
(718) 225-8196
Mailing address
2325 BELL BLVD, BAYSIDE, NY 11360-2056
(718) 225-6000
(718) 225-8196
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
33485
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01526489
—
NY
Enumeration date
11/14/2006
Last updated
07/08/2007
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