# KENDALL STEWART DPM, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891853578
- **Authorized official:** DR. KENDALL BASIL STEWART DPM (DIRECTOR)
- **Authorized official phone:** (718) 284-3982

## Contact information

- **Practice address:** 4016 CHURCH AVE, BROOKLYN, NY 11203-2917
- **Practice address phone:** (718) 284-3982
- **Practice address fax:** (718) 284-2881
- **Mailing address:** 4016 CHURCH AVE, BROOKLYN, NY 11203-2917
- **Mailing address phone:** (718) 284-3982
- **Mailing address fax:** (718) 284-2881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 03320 | NY | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 03/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00645381 | — | NY |
| 01 | — | 0083119 | GHI | NY |
