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Kathleen Marie Newman

Specialist

Other Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Kathleen Marie Newman does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:04 PM.

Profile Details

Provider ID
1598028490
Provider Type
Individual
Full Name
Newman, Kathleen Marie
Title
Ms.
Credential
MS

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/17/2012
Last Updated
6/17/2012

Contact Information

Practice Location

1540 Carl Ave, Holbrook, NY 11741-2318

(631) 981-7809

Unlisted Fax

Mailing Location

1540 Carl Ave, Holbrook, NY 11741-2318

(631) 981-7809

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License 889682 New York

Provider Identifiers

ID	Description	Issuer
ID 889682	Description Other	Issuer SPECIAL EDUCATOR New York

Kathleen Marie Newman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Slater, Jami M

Innace, Nicole

Germain, Clara

Graziano, Vicki Lynn

Calcaterra, Dean

Hertel, Nancy Ellen

Keaster, Erika

Bauernfeind, Erika Lynne

Campagna, Elizabeth

Nitti, Kassandra M