Provider Demographics
NPI:1730585829
Name:SCHWARTZ, MADELINE A (OTR)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:A
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:MADELINE
Other - Middle Name:A
Other - Last Name:SCHNUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 W FESSLER DR
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1607
Mailing Address - Country:US
Mailing Address - Phone:914-522-2257
Mailing Address - Fax:
Practice Address - Street 1:4 W FESSLER DR
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-1607
Practice Address - Country:US
Practice Address - Phone:914-522-2257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY63011287225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist