Healthcare Provider Details

I. General information

NPI: 1235024191
Provider Name (Legal Business Name): SHAINDEL SCHWED BSN,RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4502 13TH AVE STE 404
BROOKLYN NY
11219-6625
US

IV. Provider business mailing address

152 UNION RD APT 1A
SPRING VALLEY NY
10977-2728
US

V. Phone/Fax

Practice location:
  • Phone: 631-208-4460
  • Fax:
Mailing address:
  • Phone: 845-521-1170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number975580-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: