Provider / Organization | NPI | Date Certified |
---|---|---|
SAM SCHWARZWALD | 1770166399 | 2021-05-02 |
Sam Schwarzwald is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1770166399. Registration indicates Sam Schwarzwald is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Dr. Sam Schwarzwald MD |
Practice Office Address | 222 STATION PLZ N STE 509 MINEOLA, NY US |
Practice Office Telephone | 5166638794 |
Mailing Address | 222 STATION PLZ N STE 509 MINEOLA, NY 115013893 US |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |