Individual
JOHN J NOVOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MADISON AVE STE 1A, ELMIRA, NY 14901-3219
(607) 734-4110
(607) 733-3357
Mailing address
600 IVY ST STE 206, ELMIRA, NY 14905-1627
(607) 271-2050
(607) 271-2071
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
334152
NY
208000000X
Pediatrics Physician
334152
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0490612
—
OH
Enumeration date
03/29/2019
Last updated
04/16/2025
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