Healthcare Provider Details

I. General information

NPI: 1891716791
Provider Name (Legal Business Name): AMAR SWARNKAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 05/08/2020
Certification Date: 05/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 E ADAMS ST 3RD FLOOR RADIOLOGY
SYRACUSE NY
13210-2306
US

IV. Provider business mailing address

224 HARRISON ST SUITE 601
SYRACUSE NY
13202-3056
US

V. Phone/Fax

Practice location:
  • Phone: 315-464-6672
  • Fax:
Mailing address:
  • Phone: 315-464-6672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number2137371
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number2137371
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: