Individual
DAVID RUSSELL SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 COMMACK RD UNIT 150, COMMACK, NY 11725-5009
(631) 689-6698
(631) 751-5548
Mailing address
6 TECHNOLOGY DR STE 100, EAST SETAUKET, NY 11733-4079
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
303178
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
303178
KY
Other
Enumeration date
04/05/2017
Last updated
03/24/2023
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