Most Relevant Information
Provider Data
| NPI Number: | 1003683160 |
| Provider Name: | NICOLE EWINGS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/08/2023 |
| Last Updated: | 12/08/2023 |
Provider Practice Location
11 PALM DR
BLOOMINGBURG
NY
127214825
Practice Location Phone/Fax
| Phone: | 8457412258 |
| Fax: |
Provider Mailing Location
11 PALM DR
BLOOMINGBURG
NY
127214825
Provider Mailing Phone/Fax
| Phone: | 8457412258 |
| Fax: |