Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 01085555A | IN |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 036.156646 | IL |
NPI | 1215391198 |
---|---|
Provider Name | Dr. Hasani Swindell |
First Address | New York, NY 10032-3720 |
Second Address | New York, NY 10032-3720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2016 |
Last Update Date | 08/06/2021 |