Provider Demographics
NPI:1194912816
Name:NEWMAN, NEIL HOWARD (MD DC)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:HOWARD
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:MD DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 W BROADWAY APT 140
Mailing Address - Street 2:2-12 WEST PARK AVENUE 2ND FLOOR
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-3911
Mailing Address - Country:US
Mailing Address - Phone:516-902-9736
Mailing Address - Fax:
Practice Address - Street 1:274 W BROADWAY APT 140
Practice Address - Street 2:2-12 WEST PARK AVENUE 2ND FLOOR
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-3911
Practice Address - Country:US
Practice Address - Phone:516-902-9736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3630111NN1001X, 111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
No111NX0100XChiropractic ProvidersChiropractorOccupational Health