Provider Demographics
NPI:1013270974
Name:SWIDLER, RINA MICHELLE (MSED)
Entity Type:Individual
Prefix:
First Name:RINA
Middle Name:MICHELLE
Last Name:SWIDLER
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 GAINSVILLE DR
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-1228
Mailing Address - Country:US
Mailing Address - Phone:516-330-2593
Mailing Address - Fax:
Practice Address - Street 1:38 GAINSVILLE DR
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-1228
Practice Address - Country:US
Practice Address - Phone:516-330-2593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist