Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 080379 | NY |
NPI | 1205079738 |
---|---|
Provider Name | Dr. Toni G. Novick |
First Address | New Rochelle, NY 10804-3432 |
Second Address | New Rochelle, NY 10804-3432 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2009 |
Last Update Date | 14/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B16420 | (02) | NY |