Provider Demographics
NPI:1477871481
Name:BRESNICK, TODD (PSYD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:
Last Name:BRESNICK
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 SACKETT ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-4510
Mailing Address - Country:US
Mailing Address - Phone:917-406-8111
Mailing Address - Fax:347-577-9899
Practice Address - Street 1:699 SACKETT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-4561
Practice Address - Country:US
Practice Address - Phone:347-577-9899
Practice Address - Fax:347-577-9899
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-14
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016900103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical