Kenneth Ewing, MD
NPI #1205052610 in Port Washington, New York
Provider Information
- NPI Number
- 1205052610
- Entity Type
- Organization
- Organization Name
- Kenneth Ewing, MD
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 458 MAIN ST
- City
- Port Washington
- State
- New York
- ZIP Code
- 11050-3123
- Phone
- (516) 883-7677
Authorized Official
- Name
- DONNA HUMPHREYS
- Title
- OFFICE MANAGER
- Phone
- (516) 883-7677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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