Provider Demographics
NPI:1457446908
Name:SWENTON, ERIKA D (MS, PT)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:D
Last Name:SWENTON
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3774 ROUTE 31
Mailing Address - Street 2:APT 1006
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13090
Mailing Address - Country:US
Mailing Address - Phone:315-652-5367
Mailing Address - Fax:
Practice Address - Street 1:4713 ONONDAGA BOULEVARD
Practice Address - Street 2:SUITE 100
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13219
Practice Address - Country:US
Practice Address - Phone:315-469-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023907-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCC8676Medicare ID - Type Unspecified