Provider Demographics
NPI:1700035987
Name:NEIMAN, HOWARD JEROME (MSED SPECIAL EDUCATI)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:JEROME
Last Name:NEIMAN
Suffix:
Gender:M
Credentials:MSED SPECIAL EDUCATI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3963 ANNE DR
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-1710
Mailing Address - Country:US
Mailing Address - Phone:516-263-8737
Mailing Address - Fax:
Practice Address - Street 1:3963 ANNE DR
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-1710
Practice Address - Country:US
Practice Address - Phone:516-263-8737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services