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NPI Code Detail

MEDICARE: MR. STEVEN G SWEITZER P.A.

MEDICARE: MR. STEVEN G SWEITZER P.A.
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
1363A00000XPhysician Assistant000143CT
2363A00000XPhysician Assistant011395NY

General Provider Information

NPI Number : 1558326405
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEVEN G SWEITZER P.A.
Provider Business Mailing Address
First Line : 861 BEDFORD RD
Second Line :
City : PLEASANTVILLE
State : NY
Zip : 10570-2700
Country : US
Telephone Number : 914-773-3005
Fax Number : 845-569-3352
Provider Business Practice Location Address
First Line : 330 POWELL AVE
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-3412
Country : US
Telephone Number : 845-569-3663
Fax Number : 845-569-3352
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 04/06/2018

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