Provider Demographics
NPI:1609176361
Name:RESNICK, DANIEL ROCKWELL (NP)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ROCKWELL
Last Name:RESNICK
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 UNION ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-3002
Mailing Address - Country:US
Mailing Address - Phone:518-751-3060
Mailing Address - Fax:845-765-9382
Practice Address - Street 1:43 NEW SCOTLAND AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3478
Practice Address - Country:US
Practice Address - Phone:518-264-5053
Practice Address - Fax:518-264-5057
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY343561363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily