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Individual

MICHAEL I RESNICK SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
327 ROUTE 59, AIRMONT, NY 10952
(845) 356-2900
(845) 356-7797
Mailing address
327 ROUTE 59, AIRMONT, NY 10952
(845) 356-2900
(845) 356-7797

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
086369
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00133739
NY
01
0014638
AETNA HMO#
NY
01
0039141
GHI PPO
NY
01
0D0562
HEALTHNET
NY
01
391733
MVP (AIRMONT/STONY POINT)
NY
01
391734
MVP (MONROE)
NY
01
4413534
AETNA PPO#
NY
01
570F11
EMPIRE BCBS (STONY POINT)
NY
01
570F12
EMPIRE BCBS (MONROE)
NY
01
570F13
EMPIRE BCBS (AIRMONT)
NY
01
RS358
OXFORD
NY
Enumeration date
08/18/2005
Last updated
02/05/2008
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