Healthcare Provider Details

I. General information

NPI: 1669529756
Provider Name (Legal Business Name): ALLAN DAVID RESMAN P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5144 SHERIDAN DR SUITE #2
WILLIAMSVILLE NY
14221-4648
US

IV. Provider business mailing address

5144 SHERIDAN DR SUITE #2
WILLIAMSVILLE NY
14221-4648
US

V. Phone/Fax

Practice location:
  • Phone: 716-631-5224
  • Fax: 716-631-5626
Mailing address:
  • Phone: 716-631-5224
  • Fax: 716-631-5626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number002756
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: