Individual
TANYA-MARIE SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
90 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP, PC, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-2956
Mailing address
110 S BEDFORD RD, MOUNT. KISCO MEDICAL GROUP, PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-2956
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
235347
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03084728
—
NY
Enumeration date
03/06/2009
Last updated
06/30/2016
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