Provider Demographics
NPI:1386865962
Name:NEWMAN, NEIL STEWART (PHD)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:STEWART
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:80 EAST 11TH STREET
Mailing Address - Street 2:SUITE 510
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2213
Mailing Address - Country:US
Mailing Address - Phone:212-614-8136
Mailing Address - Fax:212-614-8136
Practice Address - Street 1:80 EAST 11TH STREET
Practice Address - Street 2:SUITE 510
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2213
Practice Address - Country:US
Practice Address - Phone:212-614-8136
Practice Address - Fax:212-614-8136
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009582103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical