Healthcare Provider Details

I. General information

NPI: 1164989042
Provider Name (Legal Business Name): DANA MASCHELLE SWINT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2019
Last Update Date: 02/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 WHITE PLAINS RD
BRONX NY
10467-8124
US

IV. Provider business mailing address

3050 WHITE PLAINS RD
BRONX NY
10467-8124
US

V. Phone/Fax

Practice location:
  • Phone: 929-348-4426
  • Fax: 718-944-7091
Mailing address:
  • Phone: 929-348-4426
  • Fax: 718-944-7091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number073091
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: