Individual
CORI ELIZABETH STEWART-BAYARDELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 E SHORE RD, MANHASSET, NY 11030
(516) 946-6209
Mailing address
52 ALDERSHOT LN, MANHASSET, NY 11030-3716
(516) 946-6209
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
009162
NY
Other
Enumeration date
04/16/2018
Last updated
06/28/2019
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