Provider Demographics
NPI:1790816726
Name:LEDWITH, STUART PATRICK (RN)
Entity Type:Individual
Prefix:
First Name:STUART
Middle Name:PATRICK
Last Name:LEDWITH
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 WATER ST
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-2357
Mailing Address - Country:US
Mailing Address - Phone:315-635-7185
Mailing Address - Fax:
Practice Address - Street 1:15 WATER ST
Practice Address - Street 2:
Practice Address - City:BALDWINSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13027-2357
Practice Address - Country:US
Practice Address - Phone:315-635-7185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY287729-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse