| Doctor Name: | DR. JILL SCHWARTZBERG |
| NPI Number: | 1144438284 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D |
| License Number: | 012208 |
| Business Practice Address: | 25 Longwood Rd Middle Island, NY - 119532045 |
| Business Phone Number: | 6319240008 |
| Business Fax Number: | |
| Mailing Address: | 26 Harvest Ln, COMMACK |
| State: | NY |
| Postal Code: | 117251508 |
| Phone Number: | 6314868377 |
| Fax Number: | |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 012208 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |