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NPI Code Detail

MEDICARE: LISA SWIFT

MEDICARE:   LISA  SWIFT
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
1103K00000XBehavior Analyst000596NY

General Provider Information

NPI Number : 1538546536
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA SWIFT
Provider Business Mailing Address
First Line : 447 FORT WASHINGTON AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10033-4649
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 447 FORT WASHINGTON AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10033-4649
Country : US
Telephone Number : 914-588-0274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2015
Last Update Date : 04/29/2015

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Directions to “ LISA SWIFT ” Practice Location

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