Individual
COURTNEY J STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 761-0300
(518) 480-0119
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
(518) 824-2388
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305709
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03360189
—
NY
Enumeration date
06/27/2011
Last updated
05/15/2017
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