Provider Demographics
NPI:1326121914
Name:NEWMAN, ANDREW CURTIS (DDS)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:CURTIS
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1955 MERRICK ROAD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-4635
Mailing Address - Country:US
Mailing Address - Phone:516-377-7727
Mailing Address - Fax:516-377-7296
Practice Address - Street 1:1955 MERRICK ROAD
Practice Address - Street 2:SUITE 206
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-4635
Practice Address - Country:US
Practice Address - Phone:516-377-7727
Practice Address - Fax:516-377-7296
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033187NY1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00632173Medicaid