Provider Demographics
NPI:1154594463
Name:ARLENE E. SCHWARTZ
Entity type:Organization
Organization Name:ARLENE E. SCHWARTZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:718-520-8055
Mailing Address - Street 1:6944 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1723
Mailing Address - Country:US
Mailing Address - Phone:718-520-8055
Mailing Address - Fax:718-520-8056
Practice Address - Street 1:6944 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1723
Practice Address - Country:US
Practice Address - Phone:718-520-8055
Practice Address - Fax:718-520-8056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT005028152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01435363Medicaid
NY01435363Medicaid
NY74041Medicare PIN
NYU10236Medicare UPIN
NY0713390001Medicare NSC
NYC43301Medicare PIN