Provider Demographics
NPI:1124128178
Name:ALTMAN NEUMANN, JOAN E (MD)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:E
Last Name:ALTMAN NEUMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1436 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-1405
Mailing Address - Country:US
Mailing Address - Phone:516-563-7200
Mailing Address - Fax:516-563-7295
Practice Address - Street 1:1436 BROADWAY
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1405
Practice Address - Country:US
Practice Address - Phone:516-563-7200
Practice Address - Fax:516-563-7295
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185236207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01670126Medicaid
NYA400151740Medicare PIN
NY01670126Medicaid