NPI Registry.org

Marissa Novack

NPI Registration Record

Provider / OrganizationNPIDate Certified
MARISSA NOVACK12355256502021-11-21

Marissa Novack is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1235525650. Registration indicates Marissa Novack is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Surgery (Surgery, ) (Specialist Network, ) (Surgery, Allopathic & Osteopathic Physicians) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Allopathic & Osteopathic Physicians, Surgery) (Surgery, ) (Specialist Network, ) (Surgery, Allopathic & Osteopathic Physicians)

Entity TypeIndividual
Provider NameDr. Marissa Novack MD
Practice Office Address100 HIGH ST
BUFFALO, NY US
Practice Office Telephone5702059143
Mailing Address100 HIGH ST STE D3
BUFFALO, NY 142031126 US
HPT Codes
CodePractice
License No
State
208600000X
Allopathic & Osteopathic Physicians
Surgery
Surgery

Specialist Network

Surgery
Allopathic & Osteopathic Physicians
48150426
NY
390200000X
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
208600000X PRIMARY
Allopathic & Osteopathic Physicians
Surgery
Surgery

Specialist Network

Surgery
Allopathic & Osteopathic Physicians
308402
NY
193400000X SINGGroup Code
OPI Codes
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