Newman, Mary O

Newman, Mary O is an individual health care provider with primary practice located at 1540 Carl Ave , Holbrook NY 11741-2318. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Newman, Mary O can be contacted via phone (631) 981-7809.

Contact Information

Primary practice address
1540 Carl Ave Holbrook NY 11741-2318
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1706173 New York

Profile Details

NPI number 1962764191
LBN Legal business name Newman, Mary O
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2012
Last updated Jun 13th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962764191 NPPES
New York Other 1706173 NEW YORK STATE SPECIAL EDUCATION SUPERVISOR

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