Healthcare Provider Details

I. General information

NPI: 1972467306
Provider Name (Legal Business Name): IAN SWORDS NRP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 METROTECH CTR RM 7E-06
BROOKLYN NY
11201-5431
US

IV. Provider business mailing address

9 METROTECH CTR RM 7E-06
BROOKLYN NY
11201-5431
US

V. Phone/Fax

Practice location:
  • Phone: 718-999-2000
  • Fax:
Mailing address:
  • Phone: 718-999-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License Number503062
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number229672
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: