National Provider Identifier
Jack Resnik, MD
Jack Resnik, MD is listed in the NPPES registry with a primary specialty of Addiction Medicine (Internal Medicine) Physician in Rochester, NY and a listed phone number of (585) 436-3040.
Profile Overview
- NPI
- 1558561985
- Provider Type
- Individual
- Primary Specialty
- Addiction Medicine (Internal Medicine) Physician
- Enumeration Date
- July 24, 2007
- Last Updated
- March 01, 2026
Practice Location
- 480 Genesee Street
- Rochester, NY 14611
Phone: (585) 436-3040
Specialties
- Addiction Medicine (Internal Medicine) Physician (207RA0401X)
Full Record
- NPI
- 1558561985
- Entity Type
- Individual
- Last Name
- Resnik
- First Name
- Jack
- Credential
- MD
- Mailing Street Address
- 480 Genesee Street
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611
- Mailing Country
- US
- Mailing Phone
- (585) 436-3040
- Mailing Fax
- (585) 295-6009
- Practice Street Address
- 480 Genesee Street
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611
- Practice Country
- US
- Practice Phone
- (585) 436-3040
- Practice Fax
- (585) 295-6009
- Enumeration Date
- July 24, 2007
- Last Updated
- March 01, 2026
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction Medicine (Internal Medicine) Physician (207RA0401X)