Provider Demographics
NPI:1427239573
Name:SCHWARTZ, BARRY DAVID
Entity type:Individual
Prefix:MR
First Name:BARRY
Middle Name:DAVID
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 E 23RD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-3751
Mailing Address - Country:US
Mailing Address - Phone:212-477-1372
Mailing Address - Fax:212-477-2384
Practice Address - Street 1:161 E 23RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-3751
Practice Address - Country:US
Practice Address - Phone:212-477-1372
Practice Address - Fax:212-477-2384
Is Sole Proprietor?:No
Enumeration Date:2007-11-16
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029988183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist