Individual
BREANNE LINDSAY NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
1477 S SCHODACK RD, CASTLETON, NY 12033-9644
(518) 477-7103
Mailing address
1477 S SCHODACK RD, CASTLETON, NY 12033-9644
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1231335181
NY
174400000X
Specialist
759566131
NY
Other
Enumeration date
09/14/2017
Last updated
09/15/2023
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