MEDICARE: DR. GARY HOWARD SWALSKY

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
1	1223G0001X	General Practice Dentistry	046337-1	NY

General Provider Information

NPI Number	:	1215916465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY HOWARD SWALSKY

Provider Business Mailing Address
First Line	:	1456 VISCHER FERRY RD.
Second Line	:
City	:	HALFMOON
State	:	NY
Zip	:	12065
Country	:	US
Telephone Number	:	518-348-1999
Fax Number	:

Provider Business Practice Location Address
First Line	:	1456 VISCHER FERRY RD.
Second Line	:
City	:	HALFMOON
State	:	NY
Zip	:	12065
Country	:	US
Telephone Number	:	518-348-1999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2006
Last Update Date	:	01/29/2008

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