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Individual

MR. WILLIAM MARK SCHWING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.P.O.

Contact information

Practice address
329 E MAIN ST, BLDG. A SUITE 2, SMITHTOWN, NY 11787-2830
(631) 360-6400
(631) 360-6449
Mailing address
329 E MAIN ST, BLDG. A SUITE 2, SMITHTOWN, NY 11787-2830
(631) 360-6400
(631) 360-6449

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02192501
NY
01
165811
VYTRA PROVIDER ID.
NY
01
3C7870
HEALTHNET PROVIDER ID
NY
01
A2669088
OXFORD PROVIDER ID
NY
Enumeration date
01/11/2007
Last updated
07/09/2007
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