Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 241021 | MA |
N | 207R00000X | Internist | 045962 | CT |
N | 111NI0900X | Internist | 045962 | CT |
Y | 207R00000X | Internist | 298100 | NY |
Y | 111NI0900X | Internist | 298100 | NY |
NPI | 1992989081 |
---|---|
Provider Name | Yves-Line Auguste-Swann |
First Address | Brooklyn, NY 11210-1537 |
Second Address | Brooklyn, NY 11210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2007 |
Last Update Date | 20/08/2019 |