MEDICARE: RICHARD L SWERDLIK MD PC

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	207L00000X	Anesthesiology Physician	16677	NY

General Provider Information

NPI Number	:	1407242571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD L SWERDLIK MD PC

Provider Business Mailing Address
First Line	:	302 MANOR RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-2408
Country	:	US
Telephone Number	:	718-815-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 BRIGHTON BEACH AVE STE 3
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-8067
Country	:	US
Telephone Number	:	718-946-7557
Fax Number	:	718-815-8122

Authorized Official
Title or Position	:	CEO
Name	:	RICHARD L SWERDLIK
Credential	:	M.D
Telephone Number	:	718-815-1000

Provider Enumeration Date	:	04/15/2015
Last Update Date	:	04/15/2015

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