Provider Demographics
NPI:1699928796
Name:NEWMAN, TIFFANY MAUREEN (MD)
Entity type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:MAUREEN
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:525 E 68TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:212-746-5100
Mailing Address - Fax:
Practice Address - Street 1:990 STEWART AVE STE 100
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4838
Practice Address - Country:US
Practice Address - Phone:516-222-4855
Practice Address - Fax:516-222-4880
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2490322085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology