Provider Demographics
NPI:1619149341
Name:NEWEY, WILLIAM (MBCHB)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:NEWEY
Suffix:
Gender:M
Credentials:MBCHB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 LEFFERTS ST
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-2717
Mailing Address - Country:US
Mailing Address - Phone:518-587-8347
Mailing Address - Fax:
Practice Address - Street 1:38 LEFFERTS ST
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-2717
Practice Address - Country:US
Practice Address - Phone:518-587-8347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY104977-12085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC49865Medicare UPIN