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Individual

MARIE JEAN SCHWARZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NPP

Contact information

Practice address
2539 MIDDLE COUNTRY RD, SUITE 4, CENTEREACH, NY 11720-3503
(631) 737-6434
(631) 738-1226
Mailing address
2539 MIDDLE COUNTRY RD, CENTEREACH, NY 11720-3503
(631) 737-6434
(631) 738-1226

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401755-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F401755-1
LICENSE
NY
Enumeration date
08/26/2014
Last updated
08/26/2014
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