Individual
KEARA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 68TH ST, PAYSON 5, BOX 141, NEW YORK, NY 10065-4870
(203) 247-2148
Mailing address
525 E 68TH ST, PAYSON 5, BOX 141, NEW YORK, NY 10065-4870
(203) 247-2148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22 660180
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
430981
NY
Other
Enumeration date
03/05/2015
Last updated
09/20/2023
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