Provider Demographics
NPI:1376892174
Name:NEWMAN, ROSE ANN (MS SPECIAL EDUCATION)
Entity Type:Individual
Prefix:MRS
First Name:ROSE ANN
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:MS SPECIAL EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 STUART DRIVE
Mailing Address - Street 2:SYOSSET
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-5126
Mailing Address - Country:US
Mailing Address - Phone:516-641-1460
Mailing Address - Fax:516-921-0830
Practice Address - Street 1:70 STUART DRIVE
Practice Address - Street 2:SYOSSET
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-5126
Practice Address - Country:US
Practice Address - Phone:516-641-1460
Practice Address - Fax:516-921-0830
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1376892174174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist