Healthcare Provider Details

I. General information

NPI: 1831774819
Provider Name (Legal Business Name): NEWTON MEDICAL CONSULTANT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2021
Last Update Date: 03/11/2021
Certification Date: 03/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8299 TURIN RD
ROME NY
13440-1913
US

IV. Provider business mailing address

PO BOX 340
NEW HARTFORD NY
13413-0340
US

V. Phone/Fax

Practice location:
  • Phone: 315-761-6518
  • Fax:
Mailing address:
  • Phone: 315-732-9368
  • Fax: 315-732-9403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RATNAKUMAR SEELAN NEWTON
Title or Position: PROVIDER/OWNER
Credential: MD
Phone: 315-692-4906