Individual
DR. RICHARD NOVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
199 MOUNT EDEN PKWY, BRONX, NY 10457-7703
(718) 992-7669
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3402
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
160569
NY
207RP1001X
Pulmonary Disease Physician
Primary
160569
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160569
STATE LICENSE
NY
Enumeration date
03/27/2006
Last updated
03/14/2022
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