Individual
DALE M NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
295 RIVER ST, TROY VA, TROY, NY 12180
(518) 274-7707
Mailing address
874 STATE ROUTE 43, STEPHENTOWN, NY 12169-1917
(518) 733-6856
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
179115
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0712531
—
MA
05
—
1013640
—
VT
Enumeration date
12/04/2006
Last updated
06/04/2013
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