Individual
MISS SUSAN JO SWAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
50 TIMBERLINE DR, EAST ELEM.SCHOOL, BRENTWOOD, NY 11717-4803
(631) 434-2244
(631) 434-2186
Mailing address
65 CASEMENT AVE, CENTRAL ISLIP, NY 11722-5001
(631) 234-1418
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
431417-1
NY
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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