Provider Demographics
NPI:1659186088
Name:ERSHAD, SWARNA
Entity type:Individual
Prefix:
First Name:SWARNA
Middle Name:
Last Name:ERSHAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3354 83RD ST APT E42
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-1481
Mailing Address - Country:US
Mailing Address - Phone:646-643-2643
Mailing Address - Fax:
Practice Address - Street 1:177 N 7TH ST
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-1905
Practice Address - Country:US
Practice Address - Phone:212-335-2860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services