Individual
CASSANDRA SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
416 SOUTH ST, EAST AURORA, NY 14052-2945
(315) 576-7075
Mailing address
416 SOUTH ST, EAST AURORA, NY 14052-2945
(315) 576-7075
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
383304
NY
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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