Individual
CHRISTOPHER TYLER EWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1445 PORTLAND AVE STE 210, ROCHESTER, NY 14621-3008
(585) 266-2010
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
031967
NY
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
05/15/2024
Last updated
08/12/2024
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