Provider Demographics
NPI:1053346254
Name:SCHWARTZ, IRA ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:IRA
Middle Name:ALAN
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:672 STONELEIGH AVE
Mailing Address - Street 2:SUITE C112
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-4634
Mailing Address - Country:US
Mailing Address - Phone:845-279-2900
Mailing Address - Fax:845-279-4685
Practice Address - Street 1:672 STONELEIGH AVE
Practice Address - Street 2:SUITE C112
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-4634
Practice Address - Country:US
Practice Address - Phone:845-279-2900
Practice Address - Fax:845-279-4685
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2013-10-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY162495207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWGB141Medicare ID - Type Unspecified
NYE20406Medicare UPIN