Individual
MARCELINA MIGDALIA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
61 TAMARACK ST, ISLIP, NY 11751-1909
(917) 515-6271
Mailing address
61 TAMARACK ST, ISLIP, NY 11751-1909
(917) 515-6271
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
585456-1
NY
164W00000X
Licensed Practical Nurse
284237-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F310272-01
NY
Other
Enumeration date
03/17/2010
Last updated
08/19/2021
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