Individual
MARY JANE NEWMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
223 MAIN ST, POUGHKEEPSIE, NY 12601-3101
(845) 838-4900
(845) 838-4915
Mailing address
29 N HAMILTON ST, POUGHKEEPSIE, NY 12601-2541
(845) 452-1110
(845) 452-1119
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
187691-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187691-1
RN LICENSE
NY
Enumeration date
08/17/2005
Last updated
07/08/2007
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