Provider Demographics
NPI:1568819373
Name:NEWMAN, SYDNEY NICOLE
Entity Type:Individual
Prefix:MRS
First Name:SYDNEY
Middle Name:NICOLE
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3715 KAREN PKWY APT 301
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48328-4674
Mailing Address - Country:US
Mailing Address - Phone:248-464-4056
Mailing Address - Fax:
Practice Address - Street 1:3715 KAREN PKWY APT 301
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48328-4674
Practice Address - Country:US
Practice Address - Phone:248-464-4056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-22
Last Update Date:2016-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other