MEDICARE: DR. TIFFANY MAUREEN NEWMAN M.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
1	2085R0202X	Diagnostic Radiology Physician	249032	NY

General Provider Information

NPI Number	:	1699928796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIFFANY MAUREEN NEWMAN M.D.

Provider Business Mailing Address
First Line	:	525 E 68TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-4870
Country	:	US
Telephone Number	:	212-746-5100
Fax Number	:

Provider Business Practice Location Address
First Line	:	990 STEWART AVE STE 100
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-4838
Country	:	US
Telephone Number	:	516-222-4855
Fax Number	:	516-222-4880

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

Provider Enumeration Date	:	11/03/2008
Last Update Date	:	04/17/2024

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