Resnik, Brian Marc

Resnik, Brian Marc is an individual health care provider with primary practice located at 35 Gilbert St , Cambridge NY 12816. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Resnik, Brian Marc can be contacted via phone (518) 677-3961.

Contact Information

Primary practice address
35 Gilbert St Cambridge NY 12816
Phone: (518) 677-3961
Fax: (518) 677-3180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005152 New York

Profile Details

NPI number 1700877149
LBN Legal business name Resnik, Brian Marc
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700877149 NPPES
New York MEDICAID 02347895

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