Individual
KENDALL STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4016 CHURCH AVE, BROOKLYN, NY 11203-2917
(718) 284-3982
(718) 284-2881
Mailing address
4016 CHURCH AVE, BROOKLYN, NY 11203-2917
(718) 284-3982
(718) 284-2881
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N003320-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00645381
—
NY
01
—
0083119
GHI
NY
Enumeration date
03/13/2008
Last updated
05/28/2013
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