Provider Demographics
NPI:1952493488
Name:STEWART, WILLIAM JOSPEH (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSPEH
Last Name:STEWART
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:270-05 76TH AVE
Mailing Address - Street 2:LONG ISLAND JEWSIH MEDICAL CENTER
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040
Mailing Address - Country:US
Mailing Address - Phone:718-470-7122
Mailing Address - Fax:718-347-3483
Practice Address - Street 1:27005 76TH AVE
Practice Address - Street 2:LONG ISLAND JEWSIH MEDICAL CENTER
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1402
Practice Address - Country:US
Practice Address - Phone:718-470-7122
Practice Address - Fax:718-347-3483
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033625122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist