Individual
DR. JACK M SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
134 W 58TH ST STE 105, NEW YORK, NY 10019-2146
(212) 582-6617
(212) 586-3114
Mailing address
134 W 58TH ST STE 105, NEW YORK, NY 10019-2146
(212) 582-6617
(212) 586-3114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
035510
NY
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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