Healthcare Provider Details

I. General information

NPI: 1073775151
Provider Name (Legal Business Name): GAYLE B NEUMANN PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: GAYLE B NEUMANN PH.D

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 12/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 BIRCH DR
PLAINVIEW NY
11803-2821
US

IV. Provider business mailing address

58 BIRCH DR
PLAINVIEW NY
11803-2821
US

V. Phone/Fax

Practice location:
  • Phone: 516-921-6055
  • Fax: 516-470-1453
Mailing address:
  • Phone: 516-921-6055
  • Fax: 516-470-1453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number011521
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: