Provider Demographics
NPI:1336238641
Name:NEWMAN, GILBERT MYRON (DDS)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:MYRON
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E 87TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-7602
Mailing Address - Country:US
Mailing Address - Phone:212-288-3199
Mailing Address - Fax:212-288-5070
Practice Address - Street 1:500 E 87TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-7602
Practice Address - Country:US
Practice Address - Phone:212-288-3199
Practice Address - Fax:212-288-5070
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY260321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice