Provider Demographics
NPI:1265761860
Name:PHIRKE, SWATI
Entity type:Individual
Prefix:
First Name:SWATI
Middle Name:
Last Name:PHIRKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SWATI
Other - Middle Name:SUHAS
Other - Last Name:PATIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 YORK CT
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-1410
Mailing Address - Country:US
Mailing Address - Phone:845-401-7161
Mailing Address - Fax:
Practice Address - Street 1:220 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1911
Practice Address - Country:US
Practice Address - Phone:914-358-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030222225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist