JACK RESNIK


Address: 480 Genesee Street, Rochester, NY 14611
Phone: 5854363040

JACK RESNIK (NPI# 1558561985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558561985
Entity Type Individual
Full Name JACK RESNIK
Credential MD
Practice Address 480 Genesee Street
Rochester
NY 14611
Practice Telephone 5854363040
Practice Fax Number 5852956009
Mailing Telephone 5854363040
Mailing Fax Number 5852956009
Enumeration Date 2007-07-24
Last Update Date 2008-02-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
099098 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 480 GENESEE STREET
City ROCHESTER
State NY
Zip Code 14611

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639339146 Thomas Robert Gregg Family Medicine 480 Genesee Street, Jordan Health At Woodward, Rochester, NY 14611 2008-06-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578113874 Brittany Desiree' James Counselor 601 Genesee Street, Rochester, NY 14611 2019-09-18
1629554456 Burnagie Tafari Webbe Licensed Practical Nurse 49 Judson St, Rochester, NY 14611 2018-07-16
1194223917 Caitlin Mucenski Registered Nurse 1099 Jay Street, Building J, Suite 202, Rochester, NY 14611 2018-01-26
1093233579 Brittany Theresa Filip Speech-Language Pathologist Brittany Filip At Lincoln Park School No. 44, 820 Chili Avenue, Rochester, NY 14611 2017-09-05
1629591326 Stacey D Mccloud Licensed Practical Nurse 55 Garfield St, Rochester, NY 14611 2017-07-25
1245685619 Lilt Home Care Home Health 803 West Avenue, 353, Rochester, NY 14611 2016-05-04
1639539844 Petrica Rouse Dentist 89 Genesee St Fl 2, Rochester, NY 14611 2016-03-01
1558737304 People Inc. Case Management 835 W. Main Street, Rochester, NY 14611 2015-08-17
1619352051 Lavanya Ravindran Family Medicine 89 Genesee St Bldg 3, Rochester, NY 14611 2015-07-28
1538567599 Caring Hands Adl Inc Home Health 218 Garfield St., Rochester, NY 14611 2014-12-08
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Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568484780 Christopher John Davis Internal Medicine 296 Ashbourne Rd, Rochester, NY 14618-1704 2006-07-24
1518002005 Robert L Mick Internal Medicine 774 W Main St, Rochester, NY 14611-2331 2007-02-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689272510 Richter Medical PC Internal Medicine 1 Appaloosa Ln, Millbrook, NY 12545-6051 2020-10-13
1205493533 Bct Medical Services PC Internal Medicine 230 Hilton Ave Ste 106, Hempstead, NY 11550-8116 2019-05-22
1568965309 Lloyd E. Zimmerman Internal Medicine 205 E 95th St Apt 18b, New York, NY 10128-0237 2018-03-16
1962893560 Maple Med Group LLC Internal Medicine 2000 Maple Hill St Ste 101, Yorktown Heights, NY 10598-4122 2015-02-18
1467897058 Komal Amin Internal Medicine 25 Fairfield Way Apt 1, Commack, NY 11725-3414 2013-05-08
1407191364 East End Physician Services PC Internal Medicine 44210 County Rd. 48, Southold, NY 11971 2012-12-04
1982976999 Express Medical Care, P.c Internal Medicine .357 Broadway, Suite 2c, Amityville, NY 11701 2012-02-07
1952610701 Annemarie Bonawitz-dodi Internal Medicine 942 Route 376 Ste 201, Wappingers Falls, NY 12590-6493 2010-09-28
1114132701 Joshua David Lee Internal Medicine 423 E.23rd St., Vamc 15th Floor 15156n, New York, NY 10010 2007-05-14
1609090349 Lawrence David Mass Internal Medicine 435 2nd Ave, New York, NY 10010-3101 2007-04-12
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Competitor

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City ROCHESTER
Zip Code 14611

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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