Individual
MRS. SOPHIA RESNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 866-7025
Mailing address
4802 10TH AVE, BROOKLYN NY, NY 11219-2916
(718) 866-7025
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4041
NY
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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