Provider Demographics
NPI:1710013891
Name:REZNIK, ZOYA (DPT)
Entity Type:Individual
Prefix:MS
First Name:ZOYA
Middle Name:
Last Name:REZNIK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 EXCHANGE PL
Mailing Address - Street 2:SUITE 1414
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-2701
Mailing Address - Country:US
Mailing Address - Phone:212-425-1060
Mailing Address - Fax:212-480-0108
Practice Address - Street 1:40 EXCHANGE PL
Practice Address - Street 2:SUITE 1414
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-2701
Practice Address - Country:US
Practice Address - Phone:212-425-1060
Practice Address - Fax:212-480-0108
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17142225100000X
NY62 028687225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist