Individual
MARINA NOVIKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1110 PENNSYLVANIA AVE, BROOKLYN, NY 11207-9061
(718) 649-5519
Mailing address
2225 E 69TH ST, BROOKLYN, NY 11234-6521
(718) 909-2994
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
225719
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02364189
—
NY
Enumeration date
06/04/2006
Last updated
07/08/2007
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