Individual
MR. WILLIAM FREMOUW SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
1425 MADISON AVE, FLOOR 4, RM 43, NEW YORK, NY 10029
(212) 659-1381
Mailing address
1755 BROADWAY, FRONT 3, #1122, NEW YORK, NY 10019
(212) 918-8196
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
778459
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404203
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
01
—
Enumeration date
12/09/2019
Last updated
11/01/2024
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