Basic Information
| Provider Information | |||||||||
| NPI: | 1710013891 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | REZNIK | ||||||||
| FirstName: | ZOYA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 40 EXCHANGE PL | ||||||||
| Address2: | SUITE 1414 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100052701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2124251060 | ||||||||
| FaxNumber: | 2124800108 | ||||||||
| Practice Location | |||||||||
| Address1: | 40 EXCHANGE PL | ||||||||
| Address2: | SUITE 1414 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100052701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2124251060 | ||||||||
| FaxNumber: | 2124800108 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/26/2007 | ||||||||
| LastUpdateDate: | 12/31/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 17142 | MA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 62 028687 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.