Schwartz, Jerrold P

Schwartz, Jerrold P is an individual health care provider with primary practice located at 507 Main St , Johnson City NY 13790-1810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Schwartz, Jerrold P can be contacted via phone (607) 763-8008.

Contact Information

Primary practice address
507 Main St Johnson City NY 13790-1810
Phone: (607) 763-8008
Fax: (607) 763-8019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 165144 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 165144 New York

Profile Details

NPI number 1831185222
LBN Legal business name Schwartz, Jerrold P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Feb 6th, 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 1831185222 NPPES
New York MEDICAID 02313495

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