MEDICARE: LARRY M NEUMAN

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	207R00000X	Internal Medicine Physician	146465	NY
2	207Q00000X	Family Medicine Physician	146465	NY

General Provider Information

NPI Number	:	1992907539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARRY M NEUMAN

Provider Business Mailing Address
First Line	:	577 W 161ST ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-6146
Country	:	US
Telephone Number	:	212-491-0100
Fax Number	:	212-491-0114

Provider Business Practice Location Address
First Line	:	577 W 161ST ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-6146
Country	:	US
Telephone Number	:	212-491-0100
Fax Number	:	212-491-0114

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

Provider Enumeration Date	:	06/05/2007
Last Update Date	:	03/25/2026

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Directions to “ LARRY M NEUMAN ” Practice Location

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