Schwartz, Gerald

Schwartz, Gerald is an sole proprietor health care provider with primary practice located at 554 Larkfield Rd , East Northport NY 11731-4205. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Schwartz, Gerald can be contacted via phone (631) 368-1675.

Contact Information

Primary practice address
554 Larkfield Rd East Northport NY 11731-4205
Fax: (631) 368-1740
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 024645 New York

Profile Details

NPI number 1164500120
LBN Legal business name Schwartz, Gerald
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Feb 5th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164500120 NPPES
New York MEDICAID 00652240

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