Individual
ELECIA NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1300 MASSACHUSETTS AVE, TROY, NY 12180-1628
(518) 268-5234
Mailing address
9 RYANWOOD CT, GANSEVOORT, NY 12831-1792
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
06/02/2014
Last updated
10/24/2018
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