MEDICARE: DR. ANDREW SWEENY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	280851	NY

General Provider Information

NPI Number	:	1154687929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW SWEENY M.D.

Provider Business Mailing Address
First Line	:	1934 E 35TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4821
Country	:	US
Telephone Number	:	917-363-3500
Fax Number	:

Provider Business Practice Location Address
First Line	:	4107 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5119
Country	:	US
Telephone Number	:	718-252-2581
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2012
Last Update Date	:	01/04/2016

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