Reznikov, Paul D

Reznikov, Paul D is an individual health care provider with primary practice located at 1000 E Genesee St Suite 100, Syracuse NY 13210-1892. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Reznikov, Paul D can be contacted via phone (315) 472-8835.

Contact Information

Primary practice address
1000 E Genesee St Suite 100 Syracuse NY 13210-1892
Phone: (315) 472-8835
Fax: (315) 476-3712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 195195 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 195195 New York

Profile Details

NPI number 1457330151
LBN Legal business name Reznikov, Paul D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Apr 3rd, 2014 - about 10 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 1457330151 NPPES
New York MEDICAID 00195195
New York MEDICAID 01490124

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