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Robert Novak
Student in an Organized Health Care Education/Training Program in Elmira, New York
NPI 1023638152

Robert Novak is a Student in an Organized Health Care Education/Training Program based in Elmira, NY. Robert Novak practices in Elmira, NY. The NPI Number for Robert Novak is 1023638152 and holds a License No. 313964 (New York).

The current practice location address for Robert Novak is 600 Roe Ave, Elmira, NY and can be reached out via phone at 607-737-4100. You can also correspond with Robert Novak through the mailing address at 718 W 2ND ST APT B, ELMIRA, NY - 14905-2261 (mailing address contact number: 816-668-8771).

Location: 600 Roe Ave, Elmira, NY, 14905-2261
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023638152
Provider Name
Robert Novak
Credential
Provider Entity Type
Individual
Gender
Male
Address
600 Roe Ave, Elmira, NY, 14905-2261
Phone Number
607-737-4100
Fax Number
Provider Enumeration Date
04/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
600 Roe Ave
City
Elmira
State
New York
Zip
14905-1629
Phone Number
607-737-4100
Fax Number
person
Provider Business Mailing Address Details
Address
600 Roe Ave
City
Elmira
State
New York
Zip
14905-1629
Phone Number
607-737-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
(New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
313964 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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