| Dr Sean Joseph Stewart, DC | |
|
12 W 21st St Fl 2, New York, NY 10010-6917 | |
| (646) 484-5763 | |
| Not Available |
| Full Name | Dr Sean Joseph Stewart |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 12 W 21st St Fl 2, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538632682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X013163 (New York) | Primary |
| Provider Name | Boardwalk Family Chiropractic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912585605 PECOS PAC ID: 0941671028 Enrollment ID: O20230127001980 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sean Joseph Stewart, DC 250 W 85th St Apt 7a, New York, NY 10024-3216 Ph: (732) 850-1678 | Dr Sean Joseph Stewart, DC 12 W 21st St Fl 2, New York, NY 10010-6917 Ph: (646) 484-5763 |
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