Individual
DR. BRIAN D NOWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MONTAUK HWY, GOOD SAMARITAN HOSPITAL MEDICAL CENTER, WEST ISLIP, NY 11795-4927
(631) 736-4064
(631) 736-1332
Mailing address
3 BOYLE RD, SELDEN, NY 11784-4030
(631) 736-4064
(631) 736-1332
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
180354
NY
207L00000X
Anesthesiology Physician
25MA09149000
NJ
207L00000X
Anesthesiology Physician
50905
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01468657
—
NY
Enumeration date
12/06/2005
Last updated
09/07/2012
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