Individual
DR. ADAM FARLEY RESNIKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
481 3RD AVE, NEW YORK, NY 10016-6021
(212) 679-3338
Mailing address
481 3RD AVE, NEW YORK, NY 10016-6021
(212) 679-3338
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N004688
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021318
GHI
NY
01
—
P50912
BLUE CROSS BLUE SHIELD
NY
Enumeration date
11/06/2006
Last updated
07/08/2007
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