Individual
DR. ANDREW WILLIAM NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
710 W 168TH ST, NEW YORK, NY 10032
(212) 305-2862
Mailing address
710 W 168TH ST, NEW YORK, NY 10032-3726
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022673
NY
103T00000X
Psychologist
4939
NC
Other
Enumeration date
09/01/2015
Last updated
05/25/2018
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