Doctor Name: | ELIZABETH MCSWEENEY |
NPI Number: | 1699790352 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFNP |
License Number: | F331214 |
Business Practice Address: | 728 N Main St New Square, NY - 109778916 |
Business Phone Number: | 8453549300 |
Business Fax Number: | 8453549448 |
Mailing Address: | 10 Canterbury Ln, SUFFERN |
State: | NY |
Postal Code: | 109013502 |
Phone Number: | 8453682736 |
Fax Number: | |
NPI Enumeration Date: | 07/13/2006 |
NPI Last Update Date: | 02/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F331214 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |