MEDICARE: MS. ZOYA REZNIK DPT

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
1	225100000X	Physical Therapist	17142	MA
2	225100000X	Physical Therapist	62 028687	NY

General Provider Information

NPI Number	:	1710013891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ZOYA REZNIK DPT

Provider Business Mailing Address
First Line	:	40 EXCHANGE PL
Second Line	:	SUITE 1414
City	:	NEW YORK
State	:	NY
Zip	:	10005-2701
Country	:	US
Telephone Number	:	212-425-1060
Fax Number	:	212-480-0108

Provider Business Practice Location Address
First Line	:	40 EXCHANGE PL
Second Line	:	SUITE 1414
City	:	NEW YORK
State	:	NY
Zip	:	10005-2701
Country	:	US
Telephone Number	:	212-425-1060
Fax Number	:	212-480-0108

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	12/31/2009

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