Individual ProviderSamuel ResnickStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address180 Ft Washington Ave, New York, NY 10032(212) 342-3882PECOS EnrollmentBased on the most recent information from CMS, provider Samuel Resnick does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1942995238Provider TypeIndividualFull NameResnick, SamuelGenderMaleSole ProprietorYesEnumeration Date4/11/2023Last Updated4/11/2023Contact InformationPractice LocationPractice Address180 Ft Washington Ave, New York, NY 10032Phone(212) 342-3882FaxUnlisted FaxMailing LocationMailing Address180 Ft Washington Ave, 6 Center 12, New York, NY 10032PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer