Organization
ETTA NOVICK MD & ISAAC M NOVICK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIPP PIFKO (BILLING MANAGER)
(718) 934-9720
Entity
Organization
Contact information
Practice address
1821 AVENUE J, BROOKLYN, NY 11230-3808
(718) 338-3030
Mailing address
PO BOX 332, AMTS BILLING, WOODMERE, NY 11598-0332
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
03/18/2009
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