Individual
PETER REZNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1641 3RD AVE STE 201, NEW YORK, NY 10128-3623
(973) 572-9972
Mailing address
11050 71ST RD APT 8E, FOREST HILLS, NY 11375-4970
(973) 572-9972
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
070359-1
NY
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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