Stewart, Betty Eloisa

Stewart, Betty Eloisa is an individual health care provider with primary practice located at 11706 225Th St Fl 1 , Cambria Heights NY 11411-1706. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Stewart, Betty Eloisa can be contacted via phone (718) 712-8511.

Contact Information

Primary practice address
11706 225Th St Fl 1 Cambria Heights NY 11411-1706
Phone: (718) 712-8511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 334723 New York
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X F334723-1 New York

Profile Details

NPI number 1093952608
LBN Legal business name Stewart, Betty Eloisa
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2009
Last updated Nov 30th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093952608 NPPES
New York MEDICAID 00334723
New York MEDICAID 02732209

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