Provider Demographics
NPI:1194031492
Name:CHERYL NEWMAN MD, PLLC
Entity Type:Organization
Organization Name:CHERYL NEWMAN MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:585-395-1111
Mailing Address - Street 1:2510 MONTEREY ST UNIT 3341
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90510-0418
Mailing Address - Country:US
Mailing Address - Phone:585-395-1111
Mailing Address - Fax:585-395-1116
Practice Address - Street 1:2510 MONTEREY ST UNIT 3341
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90510-0418
Practice Address - Country:US
Practice Address - Phone:585-395-1111
Practice Address - Fax:585-395-1116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-24
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242361207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty