Stephen Barry Reznick, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

012415 Issued in NY

Practice address

309 6TH Ave
Brooklyn, NY 11215-2942

Phone

(718) 768-5946

Fax

(718) 768-5946

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225175094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152942",
            "telephone_number": "718-768-5946",
            "fax_number": "718-768-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152942",
            "telephone_number": "718-768-5946",
            "fax_number": "718-768-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZNICK",
        "first_name": "STEPHEN",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George J Rezk, M.D. F.A.C.G.
• Monica Rezk
• Laurence Rezkalla, M.D.
• Leyvi Rezmowitz
• Ilise Reznick
• Reznik Physical Therapy PC
• Amy Leigh Reznik
• Makhmood Reznik, M.D.
• Mariya Reznik, O.T.
• Mark Reznik, PT

• Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.