Provider Demographics
NPI:1437384484
Name:NEWMAN, DAVID EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:EDWARD
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:953 DANBY ROAD
Mailing Address - Street 2:HAMMOND HEALTH CENTER
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850
Mailing Address - Country:US
Mailing Address - Phone:607-274-3177
Mailing Address - Fax:
Practice Address - Street 1:953 DANBY RD
Practice Address - Street 2:HAMMOND HEALTH CENTER
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-7160
Practice Address - Country:US
Practice Address - Phone:607-274-3177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY150480207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine