Most Relevant Information
Provider Data
| NPI Number: | 1003585035 |
| Provider Name: | MADISON SWANHART |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/13/2021 |
| Last Updated: | 07/01/2023 |
Provider Practice Location
953 DANBY RD
ITHACA
NY
148507000
Practice Location Phone/Fax
| Phone: | 6077936025 |
| Fax: |
Provider Mailing Location
25 E ENFIELD CENTER RD
ITHACA
NY
148509351
Provider Mailing Phone/Fax
| Phone: | 6077936025 |
| Fax: |