Provider Demographics
NPI:1962472787
Name:NOVOTNY, MARGARET ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ANN
Last Name:NOVOTNY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:57 DAVISON CT
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-5370
Mailing Address - Country:US
Mailing Address - Phone:716-439-9183
Mailing Address - Fax:716-439-4479
Practice Address - Street 1:57 DAVISON CT
Practice Address - Street 2:SUITE 2
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-5370
Practice Address - Country:US
Practice Address - Phone:716-439-9183
Practice Address - Fax:716-439-4479
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY195021207V00000X
OH35.147527207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01586281Medicaid
NYG09753Medicare UPIN
NYBB1789Medicare ID - Type Unspecified