Individual
MARIO ALBERTO NOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPAC
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8000
Mailing address
1033 HANCOCK AVE, FRANKLIN SQ, NY 11010-2105
(718) 877-8606
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013119
NY
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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