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BRIAN MARC RESNIK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
35 GILBERT ST, CAMBRIDGE, NY 12816
(518) 677-3961
(518) 677-3180
Mailing address
PO BOX 304, GLENS FALLS, NY 12801
(518) 926-6992
(518) 926-6983

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005152
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02347895
NY
Enumeration date
11/03/2005
Last updated
07/08/2007
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