Provider Demographics
NPI:1316115850
Name:ANDREW R RESLER DR
Entity type:Organization
Organization Name:ANDREW R RESLER DR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:R
Authorized Official - Last Name:RESLER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:845-562-1271
Mailing Address - Street 1:10 LITTLE BRITAIN RD
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-5100
Mailing Address - Country:US
Mailing Address - Phone:845-562-1271
Mailing Address - Fax:845-562-4417
Practice Address - Street 1:10 LITTLE BRITAIN RD
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-5100
Practice Address - Country:US
Practice Address - Phone:845-562-1271
Practice Address - Fax:845-562-4417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003113-1213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0294700001Medicare NSC