Healthcare Provider Details

I. General information

NPI: 1710988738
Provider Name (Legal Business Name): YELENA NOVIK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 08/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 E 34TH ST NYU CLINICAL CANCER CENTER
NEW YORK NY
10016-4744
US

IV. Provider business mailing address

160 E 34TH ST NYU CLINICAL CANCER CENTER
NEW YORK NY
10016-4744
US

V. Phone/Fax

Practice location:
  • Phone: 212-731-5350
  • Fax: 212-731-5574
Mailing address:
  • Phone: 212-731-5350
  • Fax: 212-731-5574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number195414
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: