Healthcare Provider Details

I. General information

NPI: 1699679753
Provider Name (Legal Business Name): EMILY MCEWEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 MEDICAL PARK DR
POMONA NY
10970-3572
US

IV. Provider business mailing address

29 SOUTHPOINT DR
LANCASTER NY
14086-3327
US

V. Phone/Fax

Practice location:
  • Phone: 877-410-3222
  • Fax:
Mailing address:
  • Phone: 716-803-5374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number031346-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: