Provider Demographics
NPI:1902074412
Name:NEWMAN, SETH (DPT(PHYSICAL THERAPY)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:DPT(PHYSICAL THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1438 E 13TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6604
Mailing Address - Country:US
Mailing Address - Phone:917-803-9918
Mailing Address - Fax:
Practice Address - Street 1:1438 E 13TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6604
Practice Address - Country:US
Practice Address - Phone:917-803-9918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2010-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030087225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist