Provider Demographics
NPI:1598176174
Name:ANDREW C. NEWMAN, D.D.S.,P.C.
Entity Type:Organization
Organization Name:ANDREW C. NEWMAN, D.D.S.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:C
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-377-7727
Mailing Address - Street 1:1955 MERRICK RD
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 RD
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0331871223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00632173Medicaid