| Doctor Name: | MARY SWEENEY |
| NPI Number: | 1174989537 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 430857 |
| Business Practice Address: | 6734 Route 9 Rhinebeck, NY - 125723724 |
| Business Phone Number: | 8452315600 |
| Business Fax Number: | 8452315489 |
| Mailing Address: | Po Box 7247-6822, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191700001 |
| Phone Number: | 9142411050 |
| Fax Number: | 9142421516 |
| NPI Enumeration Date: | 01/14/2016 |
| NPI Last Update Date: | 03/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2100X |
| License Number: | 430857 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |