Healthcare Provider Details

I. General information

NPI: 1093182123
Provider Name (Legal Business Name): SWATHI ROY M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2015
Last Update Date: 07/14/2021
Certification Date: 07/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NYU LANGONE MEDICAL CENTER 550 FIRST AVENUE
NEW YORK NY
10016
US

IV. Provider business mailing address

NYU LANGONE MEDICAL CENTER 550 FIRST AVENUE
NEW YORK NY
10016
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-5800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number83884
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: