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Organization

SPECIALIST PEDS AT LICH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN SCHWARZ MD (MANAGING EMPLOYEE)
(718) 780-1025
Entity
Organization

Contact information

Practice address
97 AMITY ST, BROOKLYN, NY 11201-6004
(718) 780-1025
Mailing address
160 WATER ST, 20FL, NEW YORK, NY 10038-4922
(212) 256-3682
(212) 256-3538

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2080A0000X
Pediatric Adolescent Medicine Physician
2080P0205X
Pediatric Endocrinology Physician
Primary
2080P0206X
Pediatric Gastroenterology Physician
2080P0207X
Pediatric Hematology & Oncology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02123191
NY
Enumeration date
05/27/2006
Last updated
09/11/2025
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