Individual
EILEEN SWAILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22 UDALIA RD, WEST ISLIP, NY 11795-3909
(631) 587-5355
(631) 587-5355
Mailing address
22 UDALIA RD, WEST ISLIP, NY 11795-3909
(631) 587-5355
(631) 587-5355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
475139-1
NY
363L00000X
Nurse Practitioner
Primary
F338580
NY
Other
Enumeration date
04/14/2010
Last updated
03/01/2016
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