Individual
JUDLY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-2802
Mailing address
4118 HILL AVE, BRONX, NY 10466-2106
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
234388
NY
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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