Individual
ROBERT NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-4100
Mailing address
718 W 2ND ST APT B, ELMIRA, NY 14905-2261
(816) 668-8771
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
313964
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07501962
—
NY
Enumeration date
04/18/2020
Last updated
11/12/2025
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