Provider Demographics
NPI:1801503859
Name:NEWHOOOK, ANDREW (LMT)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:
Last Name:NEWHOOOK
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2453H UNION BLVD APT 29A
Mailing Address - Street 2:
Mailing Address - City:ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11751-3136
Mailing Address - Country:US
Mailing Address - Phone:516-468-4005
Mailing Address - Fax:
Practice Address - Street 1:118 E 28TH ST RM 504
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8446
Practice Address - Country:US
Practice Address - Phone:516-468-4005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031694225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist