Individual
ALISA NOVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
8691 N MAIN ST, ANGOLA, NY 14006
(716) 450-4510
Mailing address
346 DELAWARE AVE, BUFFALO, NY 14202-1804
(716) 856-7500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021992
NY
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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