Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 137969 | NY |
NPI | 1003843137 |
---|---|
Provider Name | Constance F Stewart |
First Address | Rockville Centre, NY 11570-1751 |
Second Address | Rockville Centre, NY 11570-1751 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 12/04/2016 |