Individual
DR. EVAN SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3016 30TH DR STE 1B, PARK LENOX ORTHOPAEDICS, PC, ASTORIA, NY 11102-1890
(718) 558-1975
(718) 558-1617
Mailing address
3016 30TH DR STE 1B, PARK LENOX ORTHOPAEDICS, PC, ASTORIA, NY 11102-1890
(718) 558-1975
(718) 558-1617
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
150904-1
NY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
150904-1
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
150904-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006240
GHI
NY
05
—
01055398
—
NY
01
—
068371
BLUE CROSS
NY
01
—
37909
AETNA
—
01
—
DS462
OXFORD
—
Enumeration date
08/09/2006
Last updated
08/20/2014
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