Provider Information for 1518120906
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Mr. GARY J SCHWARTZ LMHC BCN
Other Names:Professional Name:GARY J SCHWARTZ MA. BCNSex: Male
NPI: 1518120906
Last Updated: 2024-03-25
Certification Date: 2024-03-12
Certification Date: 2024-03-12
Details
| Name | Value | ||||||||||||
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| NPI | 1518120906 | ||||||||||||
| Enumeration Date | 2008-07-07 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 4519 NE TOWNLINE RD MARCELLUS, NY 13108-9717 United States Phone: 315-569-8173 | Fax:315-689-4017 | ||||||||||||
| Primary Practice Address | 1551 ROUTE 20 SKANEATELES, NY 13152 United States Phone: 315-453-3911 | Fax:315-453-0197 | ||||||||||||
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