Individual provider · Type 1 NPI
Stacie Jean Swanson
Specialist · Bronx, NY
NPI number
1124475454
Active
Practice location
823 Clarence Ave
Bronx, NY 10465-1605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 889959 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1124475454
Stacie Jean Swanson's National Provider Identifier is 1124475454, issued on May 17, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bronx, NY. The record was last updated on May 17, 2016.