Individual
AGNES STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
13430 220TH ST, LAURELTON, NY 11413-1940
(718) 949-5924
Mailing address
13430 220TH ST, LAURELTON, NY 11413-1940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F340976-1
NY
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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