Individual
DR. JACK IRA NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
150 GREENWAY TER, FOREST HILLS, NY 11375-5267
(718) 793-5577
Mailing address
28 BAYBERRY LN, MOUNT KISCO, NY 10549-4800
(914) 234-7468
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
023685-1
NY
Other
Enumeration date
08/30/2005
Last updated
07/08/2007
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