Provider Demographics
NPI:1487937504
Name:SWIRNOW, REBECCA
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:SWIRNOW
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 1:8 SPRUCE ST APT 26M
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-5218
Mailing Address - Country:US
Mailing Address - Phone:845-548-2993
Mailing Address - Fax:
Practice Address - Street 1:8 SPRUCE ST APT 26M
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-5218
Practice Address - Country:US
Practice Address - Phone:845-548-2993
Practice Address - Fax:845-548-2993
Is Sole Proprietor?:No
Enumeration Date:2011-09-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020246225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist