Provider Demographics
NPI:1821380023
Name:REZNICK, DAVID MEIR (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MEIR
Last Name:REZNICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 OVERLOOK RD
Mailing Address - Street 2:APT. 716
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44106-5950
Mailing Address - Country:US
Mailing Address - Phone:412-580-4880
Mailing Address - Fax:
Practice Address - Street 1:9500 MENTOR AVE STE 200
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-8702
Practice Address - Country:US
Practice Address - Phone:440-354-0377
Practice Address - Fax:440-354-9368
Is Sole Proprietor?:No
Enumeration Date:2011-05-05
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.131262208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery