Organization
EMPIRE STATE MEDICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK RESNICK MD (MD)
(212) 832-2310
Entity
Organization
Contact information
Practice address
520 MAIN ST, ROOSEVELT ISLAND, NY 10044-0032
(212) 832-2310
(212) 753-5507
Mailing address
520 MAIN ST, ROOSEVELT ISLAND, NY 10044-0032
(212) 832-2310
(212) 753-5507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
123754
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171131
—
NY
Enumeration date
08/27/2009
Last updated
06/23/2020
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