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NPI Code Detail

MEDICARE: DR. NEIL HOWARD NEWMAN M.D. D.C.

MEDICARE: DR. NEIL HOWARD NEWMAN M.D. D.C.
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
1111NN1001XNutrition Chiropractor3630NY
2111NX0100XOccupational Health Chiropractor3630NY

General Provider Information

NPI Number : 1194912816
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NEIL HOWARD NEWMAN M.D. D.C.
Provider Business Mailing Address
First Line : 274 W BROADWAY APT 140
Second Line : 2-12 WEST PARK AVENUE 2ND FLOOR
City : LONG BEACH
State : NY
Zip : 11561-3911
Country : US
Telephone Number : 516-902-9736
Fax Number :
Provider Business Practice Location Address
First Line : 274 W BROADWAY APT 140
Second Line : 2-12 WEST PARK AVENUE 2ND FLOOR
City : LONG BEACH
State : NY
Zip : 11561-3911
Country : US
Telephone Number : 516-902-9736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2007
Last Update Date : 09/26/2007

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