Individual
MRS. DALE ANDREA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10809 FERN PL, JAMAICA, NY 11433-2623
(347) 405-3443
Mailing address
10809 FERN PL, JAMAICA, NY 11433-2623
(347) 405-3443
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
805678
NY
174400000X
Specialist
Primary
—
NY
174400000X
Specialist
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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