Individual
MISS MIKAELA ELIANA SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1444 5TH AVE, BAY SHORE, NY 11706-4147
(631) 647-3368
Mailing address
236 ISLAND PKWY W, ISLAND PARK, NY 11558-1324
(516) 318-9939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/16/2021
Last updated
01/20/2026
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