Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 199414 | NY |
NPI | 1053405647 |
---|---|
Provider Name | Amy Melissa Novatt |
First Address | Mount Kisco, NY 10549-3446 |
Second Address | Rhinebeck, NY 12572-3724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 18/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02251669 | (05) | NY |
F93258 | (02) | NY |