Provider Demographics
NPI:1740851153
Name:NEWMAN, DEON ROSEMARIE (RN,MSN,MBA)
Entity type:Individual
Prefix:
First Name:DEON
Middle Name:ROSEMARIE
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:RN,MSN,MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13815 230TH PL
Mailing Address - Street 2:
Mailing Address - City:LAURELTON
Mailing Address - State:NY
Mailing Address - Zip Code:11413-2842
Mailing Address - Country:US
Mailing Address - Phone:917-238-9772
Mailing Address - Fax:
Practice Address - Street 1:13815 230TH PL
Practice Address - Street 2:
Practice Address - City:LAURELTON
Practice Address - State:NY
Practice Address - Zip Code:11413-2842
Practice Address - Country:US
Practice Address - Phone:917-238-9772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY300040163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontologyGroup - Single Specialty