Individual
DR. BRANDON DOUGLAS EWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
161 RIVERSIDE DR STE M08, BINGHAMTON, NY 13905-4112
(607) 723-7454
Mailing address
161 RIVERSIDE DR STE M08, BINGHAMTON, NY 13905-4112
(607) 723-7454
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P97583
NY
Other
Enumeration date
10/08/2015
Last updated
03/23/2021
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