Provider Demographics
NPI:1245464239
Name:SWEDISH, KRISTIN ANNE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:ANNE
Last Name:SWEDISH
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:4234 BRONX BLVD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-2668
Mailing Address - Country:US
Mailing Address - Phone:347-341-4300
Mailing Address - Fax:347-341-4354
Practice Address - Street 1:4234 BRONX BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-2668
Practice Address - Country:US
Practice Address - Phone:347-341-4300
Practice Address - Fax:347-341-4354
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2014-10-06
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Provider Licenses
StateLicense IDTaxonomies
NY251719-12083P0901X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine