National Provider Identifier
Philipp Ewert, PA
Philipp Ewert, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Geneva, NY and a listed phone number of (315) 789-0993.
Profile Overview
- NPI
- 1033486899
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 22, 2011
- Last Updated
- August 31, 2021
Practice Location
- 789 Pre Emption RD
- Geneva, NY 14456-2069
Phone: (315) 789-0993
Specialties
- Physician Assistant (363A00000X)
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1033486899
- Entity Type
- Individual
- Last Name
- Ewert
- First Name
- Philipp
- Name Prefix
- Mr.
- Credential
- PA
- Mailing Street Address
- 789 Pre Emption RD
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-2069
- Mailing Country
- US
- Practice Street Address
- 789 Pre Emption RD
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-2069
- Practice Country
- US
- Practice Phone
- (315) 789-0993
- Enumeration Date
- November 22, 2011
- Last Updated
- August 31, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 31, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Athletic Trainer (2255A2300X)