Provider Demographics
NPI:1801482062
Name:NEWMAN, CORIN DANIELLE (NP)
Entity type:Individual
Prefix:MRS
First Name:CORIN
Middle Name:DANIELLE
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1 E ROE BLVD
Mailing Address - Street 2:
Mailing Address - City:PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-2631
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:765 ROUTE 25A STE 6
Practice Address - Street 2:
Practice Address - City:MILLER PLACE
Practice Address - State:NY
Practice Address - Zip Code:11764-2649
Practice Address - Country:US
Practice Address - Phone:631-320-3200
Practice Address - Fax:631-350-7798
Is Sole Proprietor?:No
Enumeration Date:2020-12-11
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY309967363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner