Stewart, David J

Stewart, David J is an individual health care provider with primary practice located at 7203 164Th St , Flushing NY 11365-4221. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Stewart, David J can be contacted via phone (718) 591-3320.

Contact Information

Primary practice address
7203 164Th St Flushing NY 11365-4221
Phone: (718) 591-3320
Fax: (718) 591-4052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005255 New York

Profile Details

NPI number 1790752012
LBN Legal business name Stewart, David J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2006
Last updated Jul 8th, 2007 - about 17 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 1790752012 NPPES
New York MEDICAID 01995500

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