Provider Demographics
NPI:1770746679
Name:NEWMAN, L MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:L
Middle Name:MICHAEL
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 470
Mailing Address - Street 2:449 S GULLY ROAD
Mailing Address - City:CRAGSMOOR
Mailing Address - State:NY
Mailing Address - Zip Code:12420-0470
Mailing Address - Country:US
Mailing Address - Phone:845-210-1110
Mailing Address - Fax:
Practice Address - Street 1:449 S GULLY ROAD
Practice Address - Street 2:
Practice Address - City:CRAGSMOOR
Practice Address - State:NY
Practice Address - Zip Code:12420-0470
Practice Address - Country:US
Practice Address - Phone:845-210-1110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213165 1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology