MEDICARE: STEPHANIE EWANCIW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1639979222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE EWANCIW

Provider Business Mailing Address
First Line	:	1462 US HIGHWAY 6
Second Line	:
City	:	PORT JERVIS
State	:	NY
Zip	:	12771-3473
Country	:	US
Telephone Number	:	845-517-8026
Fax Number	:

Provider Business Practice Location Address
First Line	:	1462 US HIGHWAY 6
Second Line	:
City	:	PORT JERVIS
State	:	NY
Zip	:	12771-3473
Country	:	US
Telephone Number	:	845-517-8026
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2025
Last Update Date	:	03/14/2025

Similar Medicare Providers

1386908887 — MUSTANG EXPRESS LLC
Practice Location Address:

5034 HERRING CT
NEW PORT RICHEY, FL
34652-3473

Practice Phone: 727-264-7193
Practice Fax:

1558297754 — MR. VICTOR DAVID ESPINAL MSED
Practice Location Address:

146 PIKE ST
PORT JERVIS, NY
12771-1808

Practice Phone: 845-858-1456
Practice Fax: 845-378-3283

1023533791 — WALGREEN CO
Practice Location Address:

76 PIKE ST
PORT JERVIS, NY
12771-1827

Practice Phone: 845-856-8342
Practice Fax: 845-856-3501

1679406748 — KALEIGH B OLENICK
Practice Location Address:

14 SKINNERS LN
PORT JERVIS, NY
12771-3736

Practice Phone: 845-672-5503
Practice Fax:

1386578284 — WESTCHESTER COUNTY HEALTH CARE CORPORATION
Practice Location Address:

160 EAST MAIN STREET , SNF UNIT
PORT JERVIS, NY
12771-2253

Practice Phone: 845-547-3584
Practice Fax: 845-858-7406

1982603346 — JEFFREY A PARKER DPM
Practice Location Address:

156 PIKE ST
PORT JERVIS, NY
12771-1808

Practice Phone: 845-856-7700
Practice Fax: 845-858-9284

Directions to “ STEPHANIE EWANCIW ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.