Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 000967 | CT |
N | 111NN0400X | Neurology | 38MC00592400 | NJ |
N | 111NN0400X | Neurology | DC004725L | PA |
Y | 111NN0400X | Neurology | X006698 | NY |
NPI | 1689728933 |
---|---|
Provider Name | Dr. George Edward Resnick |
First Address | Syosset, NY 11791-4513 |
Second Address | Syosset, NY 11791-4513 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U44532 | (02) | NY |