Individual
REGINALD S EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
418 N MAIN ST, PENN YAN, NY 14527-1070
(315) 531-2500
Mailing address
418 N MAIN ST, EMERGENCY DEPARTMENT, PENN YAN, NY 14527-1070
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
128545
NY
Other
Enumeration date
10/12/2006
Last updated
05/22/2008
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