Individual
DR. AMORY VEDRAN NOVOSELAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 E 86TH ST, OFC 4, NEW YORK, NY 10028-0506
(212) 861-6660
(212) 744-4696
Mailing address
12 E 86TH ST, OFC 4, NEW YORK, NY 10028-0506
(212) 861-6660
(212) 744-4696
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
252245
NY
207RH0003X
Hematology & Oncology Physician
35084949
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2589739
—
OH
05
—
64102163
—
KY
Enumeration date
11/01/2006
Last updated
05/31/2012
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