Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 108820-1 | NY |
NPI | 1013966696 |
---|---|
Provider Name | Dr. Philip A Swiantek |
First Address | Williamsville, NY 14221-4836 |
Second Address | Williamsville, NY 14221-8216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 13/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00010176102 | UNIVERA (01) | NY |
000506957003 | HEALTH NOW (01) | NY |
0021748 | GHI (01) | NY |
00611436 | (05) | NY |
040901000001 | FIDELIS (01) | NY |
108820-2B | WORKERS COMPENSATION (01) | NY |
1901261 | IHA (01) | NY |
B36033 | (02) | NY |