Healthcare Provider Details

I. General information

NPI: 1033013719
Provider Name (Legal Business Name): CASSANDRA LYNN NEWMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 HARRIS-BUSHVILLE ROAD
HARRIS NY
12742
US

IV. Provider business mailing address

145 N CHESTNUT ST UNIT 204
NEW PALTZ NY
12561-1055
US

V. Phone/Fax

Practice location:
  • Phone: 914-666-0191
  • Fax:
Mailing address:
  • Phone: 845-344-7969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberN32282
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: