Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 006885 | NY |
N | 222Z00000X | Podiatrist | 006885 | NY |
N | 213E00000X | Podiatrist | 25MD00352300 | NJ |
N | 222Z00000X | Podiatrist | 25MD00352300 | NJ |
N | 213EP0504X | Public Medicine | 006885 | NY |
N | 213EP0504X | Public Medicine | 25MD00352300 | NJ |
N | 213EP1101X | Primary Podiatric Medicine | 006885 | NY |
N | 213EP1101X | Primary Podiatric Medicine | 25MD00352300 | NJ |
N | 111NR0200X | Radiology | 006885 | NY |
N | 213ER0200X | Radiology | 006885 | NY |
N | 111NR0200X | Radiology | 25MD00352300 | NJ |
N | 213ER0200X | Radiology | 25MD00352300 | NJ |
N | 2081S0010X | Sports Medicine | 006885 | NY |
N | 213ES0000X | Sports Medicine | 006885 | NY |
N | 2081S0010X | Sports Medicine | 25MD00352300 | NJ |
N | 213ES0000X | Sports Medicine | 25MD00352300 | NJ |
Y | 213ES0103X | Foot & Ankle Surgery | 006885 | NY |
N | 213ES0103X | Foot & Ankle Surgery | 25MD00352300 | NJ |
N | 213ES0131X | Foot Surgery | 006885 | NY |
N | 213ES0131X | Foot Surgery | 25MD00352300 | NJ |
NPI | 1619322955 |
---|---|
Provider Name | Nicholas Szwaba |
First Address | Staten Island, NY 10312-6221 |
Second Address | Staten Island, NY 10312-6221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2016 |
Last Update Date | 11/03/2021 |