MEDICARE: MS. KAREN J SWABY FNP

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	363LF0000X	Family Nurse Practitioner	352889	NY

General Provider Information

NPI Number	:	1265834139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN J SWABY FNP

Provider Business Mailing Address
First Line	:	112 HIGH VIEW DR
Second Line	:
City	:	CARMEL
State	:	NY
Zip	:	10512-6134
Country	:	US
Telephone Number	:	347-656-9399
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 HIGH VIEW DR
Second Line	:
City	:	CARMEL
State	:	NY
Zip	:	10512-6134
Country	:	US
Telephone Number	:	347-656-9399
Fax Number	:

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

Provider Enumeration Date	:	09/22/2014
Last Update Date	:	10/05/2023

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