Provider Demographics
NPI:1922035427
Name:SWEETING, DOREEN P (MD)
Entity Type:Individual
Prefix:
First Name:DOREEN
Middle Name:P
Last Name:SWEETING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1270 BROADWAY
Mailing Address - Street 2:401
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3211
Mailing Address - Country:US
Mailing Address - Phone:212-563-2966
Mailing Address - Fax:212-563-3749
Practice Address - Street 1:1270 BROADWAY SUTIE 401
Practice Address - Street 2:
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:212-563-2966
Practice Address - Fax:212-563-3749
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY169067207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine