Individual
DR. MARK DOUGLAS NOVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
61 E 77TH ST, NYC, NY 10075-1902
(212) 772-3111
Mailing address
61 E 77TH ST, NEW YORK, NY 10075-1817
(212) 772-3111
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
166374-1
NY
2085R0202X
Diagnostic Radiology Physician
Primary
ME97607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002800400
—
FL
05
—
01015021
—
NY
05
—
109355800
—
FL
Enumeration date
05/12/2006
Last updated
05/11/2026
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