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Contact Information

BRIAN M RESNIK, PA
35 GILBERT ST
CAMBRIDGE, NY12816
 Phone: 518-677-3961
 Fax: 518-677-3180
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRIAN M RESNIK · (Male)

NPI # 1700877149
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 11/03/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 005152
  • NY Medicaid 02347895
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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