Provider Demographics
NPI:1609128107
Name:DAVID A EWING-CHOW, MD, PLLC
Entity type:Organization
Organization Name:DAVID A EWING-CHOW, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:EWING-CHOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-778-7913
Mailing Address - Street 1:1348 SUNSET RDG
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-4438
Mailing Address - Country:US
Mailing Address - Phone:315-778-7913
Mailing Address - Fax:
Practice Address - Street 1:1348 SUNSET RDG
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-4438
Practice Address - Country:US
Practice Address - Phone:315-778-7913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-08
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221276207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty