Basic Information
Provider Information
NPI: 1730566241
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REATEGUI SCHWARZ
FirstName: ERIKA MARIA
MiddleName:  
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Credential:  
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Mailing Information
Address1: 150 E 42ND ST FL 9
Address2:  
City: NEW YORK
State: NY
PostalCode: 100175699
CountryCode: US
TelephoneNumber: 6466058186
FaxNumber:  
Practice Location
Address1: 10 UNION SQ E
Address2:  
City: NEW YORK
State: NY
PostalCode: 100033314
CountryCode: US
TelephoneNumber: 2124204005
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/05/2015
LastUpdateDate: 08/05/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 08/05/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RI0200X296172NYY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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