Individual
DIMITRY SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDN
Contact information
Practice address
330 9TH ST, BROOKLYN, NY 11215-4026
(978) 387-7490
Mailing address
330 9TH ST, BROOKLYN, NY 11215-4026
(978) 387-7490
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
008458
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008458
LICENSE
NY
Enumeration date
06/07/2017
Last updated
06/07/2017
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