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NPI Code Detail

MEDICARE: DR. DAVID MICHAEL NEWMAN MD

MEDICARE: DR. DAVID MICHAEL NEWMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician152753NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2152753OTHERNYLICENSE

General Provider Information

NPI Number : 1104824705
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID MICHAEL NEWMAN MD
Provider Business Mailing Address
First Line : 100 KINGS HWY S
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-5504
Country : US
Telephone Number : 585-922-1900
Fax Number : 585-922-1002
Provider Business Practice Location Address
First Line : 16 BANK ST
Second Line :
City : BATAVIA
State : NY
Zip : 14020-2250
Country : US
Telephone Number : 585-344-4800
Fax Number : 585-344-7369
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 01/04/2023

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