Most Relevant Information
Provider Data
| NPI Number: | 1003270224 |
| Provider Name: | PETER REZNIK |
| Entity Type: | Individual |
| Taxonomy Code: | 261QM0850X |
| Specialty: | Clinic/Center |
| License Number: | 070359-1 |
Most Important Dates
| Enumeration Date: | 04/13/2016 |
| Last Updated: | 04/13/2016 |
Provider Practice Location
1641 3RD AVE STE 201
NEW YORK
NY
101283623
Practice Location Phone/Fax
| Phone: | 9735729972 |
| Fax: |
Provider Mailing Location
11050 71ST RD APT 8E
FOREST HILLS
NY
113754970
Provider Mailing Phone/Fax
| Phone: | 9735729972 |
| Fax: |