Individual
DR. CHARLES IRA RESNICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
145 EAST 116 ST, NEW YORK, NY 10029
(212) 831-3222
(212) 831-4255
Mailing address
145 EAST 116 ST, NEW YORK, NY 10029
(212) 831-3222
(212) 831-4255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038453
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00876233
—
NY
Enumeration date
04/22/2006
Last updated
07/08/2007
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