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NPI Code Detail

MEDICARE: MICHAEL I RESNICK SR. MD

MEDICARE:   MICHAEL I RESNICK SR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician086369NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10014638OTHERNYAETNA HMO#
2570F13OTHERNYEMPIRE BCBS (AIRMONT)
3391733OTHERNYMVP (AIRMONT/STONY POINT)
4570F11OTHERNYEMPIRE BCBS (STONY POINT)
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6570F12OTHERNYEMPIRE BCBS (MONROE)
70039141OTHERNYGHI PPO
80D0562OTHERNYHEALTHNET
9391734OTHERNYMVP (MONROE)
10RS358OTHERNYOXFORD
114413534OTHERNYAETNA PPO#

General Provider Information

NPI Number : 1386636058
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL I RESNICK SR. MD
Provider Business Mailing Address
First Line : 327 ROUTE 59
Second Line :
City : AIRMONT
State : NY
Zip : 10952
Country : US
Telephone Number : 845-356-2900
Fax Number : 845-356-7797
Provider Business Practice Location Address
First Line : 327 ROUTE 59
Second Line :
City : AIRMONT
State : NY
Zip : 10952
Country : US
Telephone Number : 845-356-2900
Fax Number : 845-356-7797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 02/05/2008

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