Healthcare Provider Details
I. General information
NPI: 1982779070
Provider Name (Legal Business Name): STEVEN E NEWMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/22/2006
Last Update Date: 06/27/2024
Certification Date: 06/27/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
506 6TH ST
BROOKLYN NY
11215-3609
US
IV. Provider business mailing address
449 BAY RIDGE PARKWAY
BROOKLYN NY
11209
US
V. Phone/Fax
- Phone: 718-780-3148
- Fax:
- Phone: 718-836-1343
- Fax: 718-836-1345
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 179517-1 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 179517 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: