Healthcare Provider Details

I. General information

NPI: 1770228439
Provider Name (Legal Business Name): SWOKIYA BHANDARI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2022
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 DUBOIS ST
NEWBURGH NY
12550-4851
US

IV. Provider business mailing address

PO BOX 411730
BOSTON MA
02241-1730
US

V. Phone/Fax

Practice location:
  • Phone: 845-568-2665
  • Fax:
Mailing address:
  • Phone: 845-703-6999
  • Fax: 845-703-6297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number337202
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: