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Individual

JOHN NOWAKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19 BRADHURST AVE, HAWTHORNE, NY 10532-2140
(914) 493-8865
(914) 594-4434
Mailing address
19 BRADHURST AVE, HAWTHORNE, NY 10532-2140
(914) 493-8865
(914) 594-4434

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
169963
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000017466
GHI HMO
NY
01
0031055
AETNA HMO
NY
05
01209769
NY
01
169963
HIP
NY
01
2500455
GHI PPO
NY
01
4301583
AETNA PPO
NY
01
5C6269
HEALTHNET
NY
01
62F191
EMPIRE BCBS
NY
01
925641
MVP
NY
01
P00290798
RAILROAD MEDICARE
NY
01
WS463
OXFORD
NY
Enumeration date
07/25/2006
Last updated
07/19/2017
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