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General NPI Number Information
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NPI Number | 1922284231
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Entity Type | Organization
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Legal Business Name | STEPHEN A. NOVICK, M.D., P.C.
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 11/12/2009
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Provider Practice Location Address
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Address Line | 984 N BROADWAY SUITE LO-8A
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City | YONKERS
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State | NY
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Zip | 10701-1318
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Country | US
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Telephone | 914-423-7267
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Fax | 914-423-9509
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Provider Business Mailing Address
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Address Line | 984 N BROADWAY SUITE LO-8A
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City | YONKERS
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State | NY
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Zip | 10701-1318
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Country | US
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Telephone | 914-423-7267
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Fax | 914-423-9509
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN ALAN NOVICK NOVICK
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Credential | M.D.
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Telephone | 914-423-7267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 092376-1
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License Number State | NY
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