Provider Demographics
NPI:1003843137
Name:STEWART, CONSTANCE F (MD)
Entity Type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:F
Last Name:STEWART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:515 HEMPSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-1751
Mailing Address - Country:US
Mailing Address - Phone:516-766-2199
Mailing Address - Fax:516-764-0032
Practice Address - Street 1:515 HEMPSTEAD AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-1751
Practice Address - Country:US
Practice Address - Phone:516-766-2199
Practice Address - Fax:516-764-0032
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1379692080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY27D221Medicare PIN