Organization
KENDALL STEWART DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDALL BASIL STEWART DPM (DIRECTOR)
(718) 284-3982
Entity
Organization
Contact information
Practice address
4016 CHURCH AVE, BROOKLYN, NY 11203-2917
(718) 284-3982
(718) 284-2881
Mailing address
4016 CHURCH AVE, BROOKLYN, NY 11203-2917
(718) 284-3982
(718) 284-2881
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
03320
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00645381
—
NY
01
—
0083119
GHI
NY
Enumeration date
12/05/2006
Last updated
03/11/2008
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