Provider Demographics
NPI:1730148800
Name:SCHWARTZ, MARICE FRANCINE (NP)
Entity type:Individual
Prefix:
First Name:MARICE
Middle Name:FRANCINE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 OAKLEY PL
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11020-1014
Mailing Address - Country:US
Mailing Address - Phone:516-466-2001
Mailing Address - Fax:
Practice Address - Street 1:7108 PARK AVE
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-4105
Practice Address - Country:US
Practice Address - Phone:718-820-0120
Practice Address - Fax:718-820-0121
Is Sole Proprietor?:No
Enumeration Date:2006-03-18
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF303103363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY06306Medicare ID - Type Unspecified
NYQ15052Medicare UPIN