Provider Demographics
NPI:1043759038
Name:NEUMAN, SHIMON
Entity Type:Individual
Prefix:
First Name:SHIMON
Middle Name:
Last Name:NEUMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MURRAY DR
Mailing Address - Street 2:
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10952-3815
Mailing Address - Country:US
Mailing Address - Phone:845-659-8606
Mailing Address - Fax:845-782-5849
Practice Address - Street 1:7 MURRAY DR
Practice Address - Street 2:
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10952-3815
Practice Address - Country:US
Practice Address - Phone:845-659-8606
Practice Address - Fax:845-782-5849
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-23
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026485235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist