MEDICARE: FRANCIS SCOTT NOWAKOWSKI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	217685	NY
2	2085R0204X	Vascular & Interventional Radiology Physician	217685	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	758T71	OTHER	NY	EMPIRE BCBS
4	21768	OTHER	NY	HIP
5	4193528	OTHER	NY	GHI

General Provider Information

NPI Number	:	1245230531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCIS SCOTT NOWAKOWSKI MD

Provider Business Mailing Address
First Line	:	1176 5TH AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-6503
Country	:	US
Telephone Number	:	212-241-8426
Fax Number	:	212-410-1973

Provider Business Practice Location Address
First Line	:	1176 5TH AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-6503
Country	:	US
Telephone Number	:	212-241-8426
Fax Number	:	212-410-1973

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	11/22/2023

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Directions to “ FRANCIS SCOTT NOWAKOWSKI MD” Practice Location

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