Individual provider · Type 1 NPI
Amy McLean-Ewanow, PA
Surgical Physician Assistant · Rochester, NY
NPI number
1184656795
Active
Practice location
1425 Portland Ave, Box 113
Rochester, NY 14621-3001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 012334 (NY) |
| Medical Physician Assistant | 363AM0700X | MA052360 (PA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1184656795
Amy McLean-Ewanow, PA's National Provider Identifier is 1184656795, issued on Jul 6, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Rochester, NY. The record was last updated on Dec 12, 2022.