Swicker, Stefan Andrew

Swicker, Stefan Andrew is an individual health care provider with primary practice located at 400 Patroon Creek Blvd Ste 100 , Albany NY 12206. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Swicker, Stefan Andrew can be contacted via phone (518) 618-1100.

Contact Information

Primary practice address
400 Patroon Creek Blvd Ste 100 Albany NY 12206
Phone: (518) 618-1100
Fax: (518) 618-1663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 198617 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 198617 New York

Profile Details

NPI number 1629060819
LBN Legal business name Swicker, Stefan Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jan 26th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629060819 NPPES
New York MEDICAID 01654746

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