Provider Demographics
NPI:1619347820
Name:STEWART-WILLIAMS, ISOLA
Entity Type:Individual
Prefix:MRS
First Name:ISOLA
Middle Name:
Last Name:STEWART-WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1056 E 103RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4522
Mailing Address - Country:US
Mailing Address - Phone:718-763-1126
Mailing Address - Fax:
Practice Address - Street 1:1056 E 103RD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-4522
Practice Address - Country:US
Practice Address - Phone:718-763-1126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program