MEDICARE: SWADA IDDRIS RN

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	163W00000X	Registered Nurse	682460	NY
2	363LW0102X	Women's Health Nurse Practitioner	F421449	NY

General Provider Information

NPI Number	:	1770903148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SWADA IDDRIS RN

Provider Business Mailing Address
First Line	:	1434 WILLIAMSBRIDGE RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-2507
Country	:	US
Telephone Number	:	718-618-0401
Fax Number	:

Provider Business Practice Location Address
First Line	:	1434 WILLIAMSBRIDGE RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-2507
Country	:	US
Telephone Number	:	718-618-0401
Fax Number	:

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

Provider Enumeration Date	:	04/23/2014
Last Update Date	:	12/29/2021

Similar Medicare Providers

1912971250 — DR. MICHAEL IRA LEVINE M.D.
Practice Location Address:

1434 WILLIAMSBRIDGE RD
BRONX, NY
10461-2507

Practice Phone: 646-759-5453
Practice Fax: 646-374-4940

1548481898 — DR. NABIL A ELHADIDY MD
Practice Location Address:

1434 WILLIAMSBRIDGE RD
BRONX, NY
10461-2507

Practice Phone: 718-299-7295
Practice Fax: 646-759-5453

1316101124 — DR. DORIS MARILU CHAVEZ MD
Practice Location Address:

1436 WILLIAMSBRIDGE RD
BRONX, NY
10461-2507

Practice Phone: 646-759-5453
Practice Fax: 646-374-4940

1487038105 — FABIO ALBERTO BARRERA PENA
Practice Location Address:

1436 WILLIAMSBRIDGE RD
BRONX, NY
10461-2507

Practice Phone: 718-618-0401
Practice Fax:

1790299360 — SOBIA ABDULLAH
Practice Location Address:

2507 TRATMAN AVE APT F10
BRONX, NY
10461-3465

Practice Phone: 718-918-1820
Practice Fax:

1801390422 — KHADIJAT M IGE NP
Practice Location Address:

1434 WILLIAMSBRIDGE RD
BRONX, NY
10461-2507

Practice Phone: 718-597-1434
Practice Fax:

Directions to “ SWADA IDDRIS RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.