Individual
CHRISTINE LYNN EWASICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46 LEGGETT RD, GHENT, NY 12075-3703
(518) 653-6573
Mailing address
46 LEGGETT RD, GHENT, NY 12075-3703
(518) 653-6573
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
702717
NY
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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