Provider Demographics
NPI:1083929848
Name:NEWTON, LESPAUL SR (LMT)
Entity Type:Individual
Prefix:MR
First Name:LESPAUL
Middle Name:
Last Name:NEWTON
Suffix:SR
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 MARYANN LN
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-4016
Mailing Address - Country:US
Mailing Address - Phone:516-442-2121
Mailing Address - Fax:
Practice Address - Street 1:455 MARY ANN LANE
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-3233
Practice Address - Country:US
Practice Address - Phone:516-225-1998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009625-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist