Healthcare Provider Details

I. General information

NPI: 1427000256
Provider Name (Legal Business Name): HOWARD K. NEWHOUSE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 05/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2405 AVENUE P
BROOKLYN NY
11229-1605
US

IV. Provider business mailing address

2405 AVENUE P
BROOKLYN NY
11229-1605
US

V. Phone/Fax

Practice location:
  • Phone: 718-338-3200
  • Fax: 718-338-2798
Mailing address:
  • Phone: 718-338-3200
  • Fax: 718-338-2798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number177990-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number177990
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: