National Provider Identifier
Alisa Novack, MSPT
Alisa Novack, MSPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Angola, NY and a listed phone number of (716) 450-4510.
Profile Overview
- NPI
- 1497065106
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- October 15, 2010
- Last Updated
- October 15, 2010
Practice Location
- 8691 N Main St
- Angola, NY 14006
Phone: (716) 450-4510
Mailing Address
- 346 Delaware Ave
- Buffalo, NY 14202-1804
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1497065106
- Entity Type
- Individual
- Last Name
- Novack
- First Name
- Alisa
- Credential
- MSPT
- Mailing Street Address
- 346 Delaware Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-1804
- Mailing Country
- US
- Mailing Phone
- (716) 856-7500
- Practice Street Address
- 8691 N Main St
- Practice City
- Angola
- Practice State
- NY
- Practice ZIP Code
- 14006
- Practice Country
- US
- Practice Phone
- (716) 450-4510
- Enumeration Date
- October 15, 2010
- Last Updated
- October 15, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)