Provider Demographics
NPI:1639324486
Name:NEWMAN, LILIA C (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LILIA
Middle Name:C
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MRS
Other - First Name:LILIA
Other - Middle Name:C
Other - Last Name:NEWMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:422 STATE ST APT 18
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-1761
Mailing Address - Country:US
Mailing Address - Phone:718-624-3952
Mailing Address - Fax:
Practice Address - Street 1:641 PRESIDENT ST
Practice Address - Street 2:207
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-1186
Practice Address - Country:US
Practice Address - Phone:347-268-5979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015031-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist