Individual
MS. DEENA J SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1062 STATE ROUTE 38, OWEGO, NY 13827
(607) 687-4000
(607) 687-6396
Mailing address
101 EAST STATE ST #257, ITHACA, NY 14850-3209
(607) 227-2246
(607) 687-6396
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F300121
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39062A
GROUP MEDICARE NUMBER
—
01
—
F300121
NP LICENSE NUMBER
NY
01
—
F401101
PNP LICENSE NUMBER
NY
Enumeration date
09/22/2006
Last updated
03/07/2023
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