Provider Demographics
NPI:1215102108
Name:SWAIN, SUSAN Q (DNP-NP)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:Q
Last Name:SWAIN
Suffix:
Gender:F
Credentials:DNP-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOX 1228
Mailing Address - Street 2:MOUNT SINAI HOSPITAL 1 GUSTAV LEVY PL.
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:646-408-3448
Mailing Address - Fax:
Practice Address - Street 1:MOUNT SINAI HOSPITAL 1 GUSTAV LEVY PL.
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:646-408-3448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400172163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health