Provider Demographics
NPI:1316966443
Name:RESNIK, EPHRAIM (MD)
Entity type:Individual
Prefix:
First Name:EPHRAIM
Middle Name:
Last Name:RESNIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:EDWARD
Other - Middle Name:
Other - Last Name:RESNIK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2 CROSFIELD AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-2226
Mailing Address - Country:US
Mailing Address - Phone:845-360-1601
Mailing Address - Fax:845-353-2661
Practice Address - Street 1:2 CROSFIELD AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-2226
Practice Address - Country:US
Practice Address - Phone:845-360-1601
Practice Address - Fax:845-353-2661
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214871207VX0201X, 207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology