Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XH1200X | Occupational Therapist - Hand | 013910-1 | NY |
NPI | 1205055852 |
---|---|
Provider Name | Mr. Aaron Joseph Stewart |
First Address | Albany, NY 12209-1201 |
Second Address | Albany, NY 12205-1447 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 24/06/2019 |