Basic Information
| Provider Information | |||||||||
| NPI: | 1245709872 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SWEIKATA | ||||||||
| FirstName: | GERALDINE | ||||||||
| MiddleName: | ANNE | ||||||||
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| Credential: | NP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2728 LEN DR | ||||||||
| Address2: | |||||||||
| City: | BELLMORE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117105202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5164282108 | ||||||||
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| Practice Location | |||||||||
| Address1: | 101 NORTHERN BLVD | ||||||||
| Address2: | |||||||||
| City: | GREENVALE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115481340 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5166292090 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/13/2018 | ||||||||
| LastUpdateDate: | 11/13/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 342540 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.