Individual
PAMELA SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
224 N WELLWOOD AVE, LINDENHURST, NY 11757-3705
(631) 226-0013
Mailing address
224 N WELLWOOD AVE, LINDENHURST, NY 11757-3705
(631) 226-0013
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
304920
NY
Other
Enumeration date
02/27/2009
Last updated
02/27/2009
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