Individual
DR. ILAN MARGULIS RESNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-2216
Mailing address
229 COLERIDGE ST, BROOKLYN, NY 11235-4122
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036148004
IL
207L00000X
Anesthesiology Physician
285233
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
285233
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
702715425
DRIVERS LICENSE
NY
Enumeration date
04/16/2012
Last updated
09/26/2023
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