Individual
JERROLD P SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
507 MAIN ST, JOHNSON CITY, NY 13790-1810
(607) 763-8008
(607) 763-8019
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2558
(607) 763-8008
(607) 763-8019
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
165144
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
165144
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02313495
—
NY
Enumeration date
09/21/2005
Last updated
02/06/2013
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