Provider Demographics
NPI:1649474966
Name:CHAUVIN, EWA BARBARA (NP)
Entity type:Individual
Prefix:MRS
First Name:EWA
Middle Name:BARBARA
Last Name:CHAUVIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:243 E 38TH ST
Mailing Address - Street 2:APT. 4B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-2723
Mailing Address - Country:US
Mailing Address - Phone:212-661-0145
Mailing Address - Fax:212-604-6029
Practice Address - Street 1:1275 YORK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6007
Practice Address - Country:US
Practice Address - Phone:212-639-8599
Practice Address - Fax:646-422-1094
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY303361363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health