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Organization
INDEPENDENCE AT HOME - PHYSICIAN HOUSE CALLS FOR THE HOMEBOUND, P.C.
Active
Organization
INDEPENDENCE AT HOME - PHYSICIAN HOUSE CALLS FOR THE HOMEBOUND, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK A RESNICK M.D. (INCORPORATOR)
(212) 832-2310
Entity
Organization
Contact information
Practice address
501 MAIN ST, SUITE C, NEW YORK, NY 10044-0190
(212) 832-2310
(212) 753-5507
Mailing address
501 MAIN ST, SUITE C, NEW YORK, NY 10044-0190
(212) 832-2310
(212) 753-5507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
123754
NY
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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