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NPI Code Detail

MEDICARE: DR. HASANI SWINDELL MD

MEDICARE: DR. HASANI SWINDELL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician316081-01NY
2207XX0005XSports Medicine (Orthopaedic Surgery) Physician01085555AIN
3207XX0005XSports Medicine (Orthopaedic Surgery) Physician036.156646IL
4390200000XStudent in an Organized Health Care Education/Training Program
5207XX0005XSports Medicine (Orthopaedic Surgery) Physician316081NY

General Provider Information

NPI Number : 1215391198
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HASANI SWINDELL MD
Provider Business Mailing Address
First Line : 622 W 168TH ST
Second Line : PH 11
City : NEW YORK
State : NY
Zip : 10032-3720
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 622 W 168TH ST
Second Line : PH 11
City : NEW YORK
State : NY
Zip : 10032-3720
Country : US
Telephone Number : 212-305-5974
Fax Number : 212-305-6193
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2016
Last Update Date : 03/14/2024

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