Provider Demographics
NPI:1891936001
Name:SWARTZ, NANCY ELEANOR (SLP)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:ELEANOR
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:JOLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:925 WEST END AVE.
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025
Mailing Address - Country:US
Mailing Address - Phone:212-932-3047
Mailing Address - Fax:212-932-3047
Practice Address - Street 1:925 WEST END AVE.
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025
Practice Address - Country:US
Practice Address - Phone:212-932-3047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010406-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist