Individual
KENNETH ROBERT SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
704 KINGS HWY, BROOKLYN, NY 11223-2238
(718) 376-5288
(718) 382-0263
Mailing address
704 KINGS HWY, BROOKLYN, NY 11223-2238
(718) 376-5288
(718) 382-0263
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0029671
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32002967-1
—
NY
Enumeration date
10/03/2006
Last updated
10/18/2007
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