MEDICARE: JAMILIA STEWART

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	780062-01	NY

General Provider Information

NPI Number	:	1043991300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMILIA STEWART

Provider Business Mailing Address
First Line	:	25 LAWN AVE
Second Line	:
City	:	NEW ROCHELLE
State	:	NY
Zip	:	10801-4224
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 BROADWAY
Second Line	:
City	:	DOBBS FERRY
State	:	NY
Zip	:	10522-1186
Country	:	US
Telephone Number	:	914-674-7600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2023
Last Update Date	:	07/28/2023

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Directions to “ JAMILIA STEWART ” Practice Location

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