Individual
KISHA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
580 WHITE PLAINS RD STE 510, TARRYTOWN, NY 10591-5152
(914) 345-5900
Mailing address
580 WHITE PLAINS RD STE 510, TARRYTOWN, NY 10591-5152
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34118
NY
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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