Nowak, Brian D

Nowak, Brian D is an sole proprietor health care provider with primary practice located at 1000 Montauk Hwy Good Samaritan Hospital Medical Center, West Islip NY 11795-4927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Nowak, Brian D can be contacted via phone (631) 736-4064.

Contact Information

Primary practice address
1000 Montauk Hwy Good Samaritan Hospital Medical Center West Islip NY 11795-4927
Phone: (631) 736-4064
Fax: (631) 736-1332
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 180354 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 50905 Connecticut
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA09149000 New Jersey

Profile Details

NPI number 1619951282
LBN Legal business name Nowak, Brian D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2005
Last updated Sep 7th, 2012 - about 12 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 1619951282 NPPES
New York MEDICAID 01468657

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