Individual
MAURA C SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1347
(516) 562-6726
Mailing address
1934 DECATUR AVE, N BELLMORE, NY 11710-1510
(516) 270-6714
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308966
NY
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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