Healthcare Provider Details

I. General information

NPI: 1831296482
Provider Name (Legal Business Name): SETH ANDREW NEWMAN D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2006
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 GLEN COVE RD STE 100
ROSLYN HEIGHTS NY
11577-1732
US

IV. Provider business mailing address

14 GLEN COVE RD STE 100
ROSLYN HEIGHTS NY
11577-1732
US

V. Phone/Fax

Practice location:
  • Phone: 516-626-2060
  • Fax:
Mailing address:
  • Phone: 516-626-2060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number051005-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: