Healthcare Provider Details

I. General information

NPI: 1871797670
Provider Name (Legal Business Name): SETH ALEXANDER RESNICK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 CENTRAL PARK WEST SUITE 1F, ROOM 4
NEW YORK NY
10024
US

IV. Provider business mailing address

275 CENTRAL PARK W APT 1F
NEW YORK NY
10024-3035
US

V. Phone/Fax

Practice location:
  • Phone: 646-450-8579
  • Fax: 844-744-8511
Mailing address:
  • Phone: 646-450-8579
  • Fax: 844-744-8511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License Number241290
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084H0002X
TaxonomyHospice and Palliative Medicine (Psychiatry & Neurology) Physician
License Number241290
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number241290
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number241290
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: