Individual
AVA SWABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1014 E 228TH ST, BRONX, NY 10466-4820
(347) 866-4374
Mailing address
1014 E 228TH ST, BRONX, NY 10466-4820
(347) 866-4374
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
322270
NY
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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