Provider Demographics
NPI:1952431249
Name:NOVAK, INNA (MD)
Entity Type:Individual
Prefix:
First Name:INNA
Middle Name:
Last Name:NOVAK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3415 BAINBRIDGE AVE
Mailing Address - Street 2:CHILDREN'S HOSPITAL AT MONTEFIORE
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2403
Mailing Address - Country:US
Mailing Address - Phone:718-741-2332
Mailing Address - Fax:718-515-5426
Practice Address - Street 1:3415 BAINBRIDGE AVE
Practice Address - Street 2:CHILDREN'S HOSPITAL AT MONTEFIORE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2403
Practice Address - Country:US
Practice Address - Phone:718-741-2332
Practice Address - Fax:718-515-5426
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2016-08-11
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Provider Licenses
StateLicense IDTaxonomies
NY236295208000000X, 2080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics