Individual
NELSON LEE NOVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
328 E 75TH ST, NEW YORK, NY 10021-3317
(212) 772-9300
(212) 772-0524
Mailing address
328 E 75TH ST, NEW YORK, NY 10021-3317
(212) 772-9300
(212) 772-0524
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1279411
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00428991
—
NY
Enumeration date
08/17/2006
Last updated
07/08/2007
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