Provider Demographics
NPI:1306402409
Name:JAIN, SWACHI (MBBS)
Entity Type:Individual
Prefix:
First Name:SWACHI
Middle Name:
Last Name:JAIN
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NORTHWELL HEALTH PATHOLOGY
Mailing Address - Street 2:6 - OHIO DRIVE, SUITE 202
Mailing Address - City:LAKE SUCCESS
Mailing Address - State:NY
Mailing Address - Zip Code:11042
Mailing Address - Country:US
Mailing Address - Phone:516-304-7234
Mailing Address - Fax:516-304-7269
Practice Address - Street 1:NORTHWELL HEALTH PATHOLOGY
Practice Address - Street 2:6 - OHIO DRIVE, SUITE 202
Practice Address - City:LAKE SUCCESS
Practice Address - State:NY
Practice Address - Zip Code:11042
Practice Address - Country:US
Practice Address - Phone:516-304-7234
Practice Address - Fax:516-304-7269
Is Sole Proprietor?:No
Enumeration Date:2019-05-14
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program