National Provider Identifier

Robert Novak

Robert Novak is listed in the NPPES registry with a primary specialty of General Practice Physician in Elmira, NY and a listed phone number of (607) 737-4100.

NPI 1023638152Elmira, NYGeneral Practice Physician

Profile Overview

NPI
1023638152
Provider Type
Individual
Primary Specialty
General Practice Physician
Enumeration Date
April 18, 2020
Last Updated
November 12, 2025

Practice Location

  • 600 Roe Ave
  • Elmira, NY 14905-1629

Phone: (607) 737-4100

Mailing Address

  • 718 W 2Nd St Apt B
  • Elmira, NY 14905-2261

Specialties

  • General Practice Physician (208D00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1023638152
Entity Type
Individual
Last Name
Novak
First Name
Robert
Mailing Street Address
718 W 2Nd St Apt B
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14905-2261
Mailing Country
US
Mailing Phone
(816) 668-8771
Practice Street Address
600 Roe Ave
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-1629
Practice Country
US
Practice Phone
(607) 737-4100
Enumeration Date
April 18, 2020
Last Updated
November 12, 2025
Sex
Male
Sole Proprietor
No
Certification Date
November 12, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Physician (208D00000X), Student in an Organized Health Care Education/Training Program (390200000X)
Other Identifiers
07501962 (NY)