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Individual

CHRISTINE STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
97 HARVEST RD, FAIRPORT, NY 14450-2832
(585) 586-2170
Mailing address
97 HARVEST RD, FAIRPORT, NY 14450-2832

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
155341
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01101317
NY
Enumeration date
04/04/2006
Last updated
10/18/2016
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