Individual
MRS. ELIZABETH WALLACH SCHWARZKOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5026
Mailing address
145 W 67TH ST, APT 39B, NEW YORK, NY 10023-5923
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
018105
NY
363A00000X
Physician Assistant
Primary
25MP00451100
NJ
363AM0700X
Medical Physician Assistant
018105
NY
363AS0400X
Surgical Physician Assistant
018105
NY
Other
Enumeration date
09/30/2014
Last updated
03/14/2025
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