Provider Demographics
NPI:1962275073
Name:SWATI, NAZ
Entity type:Individual
Prefix:
First Name:NAZ
Middle Name:
Last Name:SWATI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-2957
Mailing Address - Country:US
Mailing Address - Phone:516-567-8320
Mailing Address - Fax:
Practice Address - Street 1:407 2ND ST
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-2957
Practice Address - Country:US
Practice Address - Phone:516-567-8320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator