Provider Demographics
NPI:1174882757
Name:NEWELL, MARY AGNES (DO)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:AGNES
Last Name:NEWELL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MAGGIE
Other - Middle Name:GARVEY
Other - Last Name:NEWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:701 NORTH BROADWAY
Mailing Address - Street 2:NORTHWELL PHELPS EMERGENCY DEPARTMENT
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:701 NORTH BROADWAY
Practice Address - Street 2:NORTHWELL PHELPS HOSPITAL EMERGENCY MEDICINE DEPT.
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10457-1059
Practice Address - Country:US
Practice Address - Phone:914-366-3591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY268239-1207P00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine