Provider Demographics
NPI:1043496045
Name:NOVAK, HARRY MILES
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:MILES
Last Name:NOVAK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2192 S QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4626
Mailing Address - Country:US
Mailing Address - Phone:717-741-0788
Mailing Address - Fax:717-747-0140
Practice Address - Street 1:2192 S QUEEN ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4626
Practice Address - Country:US
Practice Address - Phone:717-741-0788
Practice Address - Fax:717-747-0140
Is Sole Proprietor?:No
Enumeration Date:2008-01-21
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF03239237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist