Provider Demographics
NPI:1528107109
Name:SWINGER, CASIMIR ANDREW (MD)
Entity type:Individual
Prefix:
First Name:CASIMIR
Middle Name:ANDREW
Last Name:SWINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 E 65TH ST
Mailing Address - Street 2:APT. 30A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-6797
Mailing Address - Country:US
Mailing Address - Phone:917-363-9660
Mailing Address - Fax:
Practice Address - Street 1:304 E 65TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-6797
Practice Address - Country:US
Practice Address - Phone:212-579-5500
Practice Address - Fax:212-288-6434
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY126820-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB12587Medicare UPIN