MEDICARE: DR. KRISTIN ANNE SWEDISH MD, MPH

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	2083P0901X	Public Health & General Preventive Medicine Physician	251719-1	NY
2	207R00000X	Internal Medicine Physician	251719-1	NY

General Provider Information

NPI Number	:	1245464239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTIN ANNE SWEDISH MD, MPH

Provider Business Mailing Address
First Line	:	4234 BRONX BLVD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-2668
Country	:	US
Telephone Number	:	347-341-4300
Fax Number	:	347-341-4354

Provider Business Practice Location Address
First Line	:	4234 BRONX BLVD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-2668
Country	:	US
Telephone Number	:	347-341-4300
Fax Number	:	347-341-4354

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

Provider Enumeration Date	:	05/06/2009
Last Update Date	:	10/06/2014

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