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Mary O Newman

Specialist

Other Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Mary O 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
1962764191
Provider Type
Individual
Full Name
Newman, Mary O
Title
Mrs.
Credential
MS

Gender
Female
Sole Proprietor
No
Enumeration Date
6/13/2012
Last Updated
6/13/2012

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 1706173 New York

Provider Identifiers

ID	Description	Issuer
ID 1706173	Description Other	Issuer NEW YORK STATE SPECIAL EDUCATION SUPERVISOR New York

Mary O 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

Harney, Kathryn

Campagna, Elizabeth

O Mahony, Karen Ann

Nitti, Kassandra M

Apostol, Jennifer Lynn

Zilinskas, Sheri R

Keaster, Erika

Newman, Kathleen Marie

Decoute, Sandra

Fiala, Robin J