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Individual

MARK L SCHWARTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
247 BAY 22 STREET, BROOKLYN, NY 11214-6105
(718) 372-2282
(718) 449-5639
Mailing address
247 BAY 22 ST, BROOKLYN, NY 11214-6105
(718) 372-2282
(718) 449-5639

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N003034
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0002764
GROUP HEALTH INCORPORATED
05
00479754
NY
01
P32871
EMPIRE BLUE CROSS
Enumeration date
02/08/2008
Last updated
12/24/2008
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