Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Stacie Jean Swanson

Individual provider Specialist · NPI 1124475454

Miss. Stacie Jean Swanson is a Specialist in Bronx, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
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Practice location Address checks out

823 Clarence Ave
Bronx, NY 10465-1605
Phone: (917) 383-7542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 889959 (NY)

Record details

NPI number1124475454
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 17, 2016
Last updated in NPPESMay 17, 2016

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