| Sanford A. Schwartz, Ph.d., Psychologist Llc | |
|
17502 73rd Ave Fresh Meadows NY 11366-1502 | |
| (718) 969-7771 | |
| (718) 969-4647 |
| Full Name | Sanford A. Schwartz, Ph.d., Psychologist Llc |
|---|---|
| Speciality | Psychologist |
| Location | 17502 73rd Ave, Fresh Meadows, New York |
| Authorized Official Name and Position | Sanford Alan Schwartz (PSYCHOLOGIST/PSYCHOLOGIST) |
| Authorized Official Contact | 7189697771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford A. Schwartz, Ph.d., Psychologist Llc 17502 73rd Ave Fresh Meadows NY 11366-1502 Ph: (718) 969-7771 | Sanford A. Schwartz, Ph.d., Psychologist Llc 17502 73rd Ave Fresh Meadows NY 11366-1502 Ph: (718) 969-7771 |
| NPI Number | 1730468158 |
|---|---|
| Provider Enumeration Date | 08/16/2011 |
| Last Update Date | 08/16/2011 |
| Medicare PECOS PAC ID | 6103096862 |
|---|---|
| Medicare Enrollment ID | O20110907001163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730468158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 006763 (New York) | Primary |
| Provider Name | Sanford A Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548332026 PECOS PAC ID: 8426228180 Enrollment ID: I20110907001245 |
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