| | Physician Last Name: | Novak |
| | Physician First Name: | Mark |
| | Physician Middle Name: | H |
| | Address: | 4688 Fairbanks Drive
Syracuse, New York 13216 |
| | License Number: | 003852 |
| | License Type: | PA |
| | Year of Birth: |
1955
|
| | Effective Date: | 04/08/2002 |
| | Action Description for DOH Webpage: | License suspension for no less than twelve months after which the physician assistant may petition the New York State Board for Professional Medical Conduct for a modification order staying the suspension of his license. The physician assistant's license was later revoked effective February 11, 2016. |
| | Misconduct Description for DOH Webpage: | The physician assistant admitted to the charge of being a habitual abuser of alcohol. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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