Provider Demographics
NPI:1902169261
Name:SCHWARTZ, SIMA YEHUDIS (MS)
Entity Type:Individual
Prefix:MRS
First Name:SIMA
Middle Name:YEHUDIS
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ROBIN RD
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-6122
Mailing Address - Country:US
Mailing Address - Phone:845-356-0701
Mailing Address - Fax:
Practice Address - Street 1:8 ROBIN RD
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-6122
Practice Address - Country:US
Practice Address - Phone:845-356-0701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist