Organization
MARK NOVICK MD PC
Active
Organization
MARK NOVICK MD PC
Active
Other names
Brooklyn Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D. NOVICK M.D. (MEDICAL DIRECTOR)
(718) 375-6000
Entity
Organization
Contact information
Practice address
450 AVENUE P, BROOKLYN, NY 11223-1902
(718) 375-6000
(718) 375-6576
Mailing address
450 AVENUE P, BROOKLYN, NY 11223-1902
(718) 375-6000
(718) 375-6576
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2289274
—
NY
Enumeration date
05/22/2006
Last updated
08/22/2020
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