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Individual

DR. JOHN DAVID SCHWERDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
532 BLOOMING GROVE TPKE, NEW WINDSOR, NY 12553-7846
(845) 562-7285
(845) 562-5779
Mailing address
161 RIVERSIDE DR, SUITE M08, BINGHAMTON, NY 13905-4176
(607) 723-7454
(607) 723-1567

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N006632
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
0066321
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03994089
NY
01
562450228
TAX ID
Enumeration date
03/24/2010
Last updated
07/10/2019
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