Novick, Mark Douglas

Novick, Mark Douglas is an individual health care provider with primary practice located at 61 E 77Th St , Nyc NY 10075-1902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Novick, Mark Douglas can be contacted via phone (212) 772-3111.

Contact Information

Primary practice address
61 E 77Th St Nyc NY 10075-1902
Phone: (212) 772-3111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 166374-1 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME97607 Florida

Profile Details

NPI number 1225089428
LBN Legal business name Novick, Mark Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Oct 18th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225089428 NPPES
Florida MEDICAID 002800400
Florida MEDICAID 01015021

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