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NPI Code Detail

MEDICARE: DR. ROBERT NEWMAN PH.D.

MEDICARE:  DR. ROBERT  NEWMAN  PH.D.
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
1103K00000XBehavior Analyst1-00-0171NY
2103T00000XPsychologist013879-1NY

General Provider Information

NPI Number : 1407108566
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT NEWMAN PH.D.
Provider Business Mailing Address
First Line : 100 WEST PARK AVENUE
Second Line : OFFICE 210B
City : LONG BEACH
State : NY
Zip : 11561
Country : US
Telephone Number : 516-448-5042
Fax Number : 516-608-4092
Provider Business Practice Location Address
First Line : 100 W PARK AVE
Second Line : OFFICE 210B
City : LONG BEACH
State : NY
Zip : 11561-3302
Country : US
Telephone Number : 516-448-5042
Fax Number : 516-608-4092
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2012
Last Update Date : 10/12/2012

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Directions to “ DR. ROBERT NEWMAN PH.D.” Practice Location

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