MEDICARE: MR. DREW MICHAEL NEWMAN LMT

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
1	225700000X	Massage Therapist	020463	NY

General Provider Information

NPI Number	:	1194902833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DREW MICHAEL NEWMAN LMT

Provider Business Mailing Address
First Line	:	88 WOODCUT LN
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-2324
Country	:	US
Telephone Number	:	516-633-9685
Fax Number	:

Provider Business Practice Location Address
First Line	:	88 WOODCUT LN
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-2324
Country	:	US
Telephone Number	:	516-633-9685
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2008
Last Update Date	:	01/24/2008

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