Individual
CATHERINE NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47 CORSA ST, DIX HILLS, NY 11746-6626
(631) 242-7972
Mailing address
47 CORSA ST, DIX HILLS, NY 11746-6626
(631) 242-7972
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
339828901
NY
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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