Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 2035361 | NY |
Y | 213ES0000X | Sports Medicine | 2035361 | NY |
NPI | 1265540348 |
---|---|
Provider Name | Dr. Nadya G Swedan |
First Address | New York, NY 10128-1001 |
Second Address | New York, NY 10128-1001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2006 |
Last Update Date | 05/11/2021 |