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Individual

YURI W NOVITSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-5947
Mailing address
177 FORT WASHINGTON AVENUE, 7TH SOUTH KNUCKLE, NEW YORK, NY 10032

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
044566
CT
208600000X
Surgery Physician
Primary
214317
NY
208600000X
Surgery Physician
35-096712
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1025911940001
PA
05
1445669
CT
05
3119084
OH
Enumeration date
07/16/2006
Last updated
10/31/2022
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