Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 214871 | NY |
NPI | 1316966443 |
---|---|
Provider Name | Ephraim Resnik |
First Address | West Nyack, NY 10994-2226 |
Second Address | West Nyack, NY 10994-2226 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 17/02/2017 |