Provider Demographics
NPI:1265540348
Name:SWEDAN, NADYA G (MD)
Entity type:Individual
Prefix:DR
First Name:NADYA
Middle Name:G
Last Name:SWEDAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1065 PARK AVE
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1001
Mailing Address - Country:US
Mailing Address - Phone:212-289-0700
Mailing Address - Fax:212-289-0171
Practice Address - Street 1:1065 PARK AVE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1001
Practice Address - Country:US
Practice Address - Phone:212-289-0700
Practice Address - Fax:212-289-0171
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20353612081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY18Y861Medicare ID - Type Unspecified