Individual
DR. ETTA NOVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1821 AVENUE J, BROOKLYN, NY 11230-3808
(718) 338-3030
(718) 338-0112
Mailing address
35 WOOD LN, WOODMERE, NY 11598-2230
(516) 295-1049
(516) 295-1049
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
121974
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00229369
—
NY
Enumeration date
08/12/2006
Last updated
07/08/2007
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