Healthcare Provider Details

I. General information

NPI: 1255115887
Provider Name (Legal Business Name): PAYTYN RESNICK NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2023
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 SHERMAN AVE
DOBBS FERRY NY
10522-1222
US

IV. Provider business mailing address

120 SHERMAN AVE
DOBBS FERRY NY
10522-1222
US

V. Phone/Fax

Practice location:
  • Phone: 315-523-5888
  • Fax:
Mailing address:
  • Phone: 315-523-5888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberF432695-01
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: