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Amy Mclean-ewanow, PA
Medical Physician Assistant in Rochester, New York
NPI 1184656795

Amy Mclean-ewanow is a Medical Physician Assistant based in Rochester, NY and is specialized in Medical. Amy Mclean-ewanow practices in Rochester, NY and has the professional credentials of PA. The NPI Number for Amy Mclean-ewanow is 1184656795 and holds a License No. 012334 (New York).

The current practice location address for Amy Mclean-ewanow is 1425 Portland Ave, Rochester, NY and can be reached out via phone at 585-922-4840.

Location: 1425 Portland Ave, Rochester, NY, 14621-3001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184656795
Provider Name
Amy Mclean-ewanow
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1425 Portland Ave, Rochester, NY, 14621-3001
Phone Number
585-922-4840
Fax Number
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02992881 05 NY
institution
Provider Business Practice Location Address Details
Address
1425 Portland Ave
City
Rochester
State
New York
Zip
14621-3001
Phone Number
585-922-4840
Fax Number
person
Provider Business Mailing Address Details
Address
1425 Portland Ave
City
Rochester
State
New York
Zip
14621-3001
Phone Number
585-922-4840
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
MA052360 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
012334 (New York)
Definition
Definition to come...
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