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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