Provider Demographics
NPI:1073775151
Name:NEUMANN, GAYLE B (PHD)
Entity Type:Individual
Prefix:DR
First Name:GAYLE
Middle Name:B
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:GAYLE
Other - Middle Name:B
Other - Last Name:NEUMANN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:58 BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-2821
Mailing Address - Country:US
Mailing Address - Phone:516-921-6055
Mailing Address - Fax:516-470-1453
Practice Address - Street 1:58 BIRCH DR
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-2821
Practice Address - Country:US
Practice Address - Phone:516-921-6055
Practice Address - Fax:516-470-1453
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011521103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV81241Medicare PIN