Provider Demographics
NPI:1902619190
Name:STEWART, SYDNI (MS, GC)
Entity type:Individual
Prefix:
First Name:SYDNI
Middle Name:
Last Name:STEWART
Suffix:
Gender:F
Credentials:MS, GC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 LINDEN DR
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1349
Mailing Address - Country:US
Mailing Address - Phone:267-230-3506
Mailing Address - Fax:
Practice Address - Street 1:173 LINDEN DR
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1349
Practice Address - Country:US
Practice Address - Phone:267-230-3506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ170300000X
PA170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS