Individual
JARED NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
11020 71ST RD APT 819, FOREST HILLS, NY 11375-4904
(631) 235-2772
Mailing address
11020 71ST RD APT 819, FOREST HILLS, NY 11375-4904
(631) 235-2772
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310533
NY
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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