Individual
ROBERTA C. SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
69-15 174 ST, FLUSHING, FLUSHING, NY 11365-3410
(718) 969-4717
Mailing address
6915 174TH ST, FLUSHING, NY 11365-3410
(718) 969-4717
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV00433-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3971910
AETNA HMO
NY
01
—
5342892
CIGNA
NY
01
—
6599194
GHI
NY
01
—
7820088
AETNA PPO/EPO/POS
NY
05
—
796543
—
NY
01
—
P3629977
OXFORD
NY
Enumeration date
02/16/2006
Last updated
11/18/2010
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