Provider Demographics
NPI:1437259736
Name:RESNICK, MELISSA A (CNM)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:A
Last Name:RESNICK
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5 E 98TH ST
Mailing Address - Street 2:BOX 1170
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6501
Mailing Address - Country:US
Mailing Address - Phone:212-659-8557
Mailing Address - Fax:212-369-2385
Practice Address - Street 1:1176 5TH AVE
Practice Address - Street 2:E LEVEL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6503
Practice Address - Country:US
Practice Address - Phone:212-659-8557
Practice Address - Fax:212-369-2385
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2009-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF000298367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife