Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 3630 | NY |
N | 111NX0100X | Occupational Health | 3630 | NY |
NPI | 1194912816 |
---|---|
Provider Name | Dr. Neil Howard Newman |
First Address | Long Beach, NY 11561-3911 |
Second Address | Long Beach, NY 11561-3911 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2007 |
Last Update Date | 26/09/2007 |