Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 308346 | NY |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD21251 | ME |
NPI | 1154863769 |
---|---|
Provider Name | Dr. David Newman |
First Address | Watertown, NY 13601 |
Second Address | Watertown, NY 13601-3051 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2016 |
Last Update Date | 01/02/2021 |