Individual
DR. MICAH S. RESNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
2520 30TH AVE FL 4, ASTORIA, NY 11102-2448
(718) 808-7777
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
282913
NY
208000000X
Pediatrics Physician
Primary
35.140363
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2565399
—
OH
Enumeration date
04/04/2013
Last updated
03/01/2022
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