Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 160310 | NY |
Y | 111NI0900X | Internist | 160310 | NY |
N | 207SG0201X | Clinical Genetics (M.D.) | 160310 | NY |
NPI | 1659601581 |
---|---|
Provider Name | Dr. Gary David Swergold |
First Address | New Rochelle, NY 10804-1116 |
Second Address | New Rochelle, NY 10804-1116 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/12/2009 |
Last Update Date | 24/12/2009 |