Most Relevant Information
Provider Data
| NPI Number: | 1003561606 |
| Provider Name: | JACOB RESNICK DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 048502 |
Most Important Dates
| Enumeration Date: | 02/14/2022 |
| Last Updated: | 02/14/2022 |
Provider Practice Location
515 LONG POND RD
ROCHESTER
NY
146123005
Practice Location Phone/Fax
| Phone: | 5852272310 |
| Fax: | 5852272312 |
Provider Mailing Location
515 LONG POND RD
ROCHESTER
NY
146123005
Provider Mailing Phone/Fax
| Phone: | 5852272310 |
| Fax: | 5852272312 |