Individual
AMY E STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
171 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 437-4689
(315) 437-4698
Mailing address
3039 VILLAGE BLVD S, BALDWINSVILLE, NY 13027-3604
(716) 359-3214
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1079595
NY
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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