Individual
DR. BRIAN J BEZACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
66 COMMACK RD, SUITE 100, COMMACK, NY 11725-3405
(631) 499-1298
(631) 499-1700
Mailing address
66 COMMACK RD, SUITE 100, COMMACK, NY 11725-3405
(631) 499-1298
(631) 499-1700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
251674
NY
2080P0214X
Pediatric Pulmonology Physician
Primary
251674
NY
Other
Enumeration date
04/28/2008
Last updated
08/08/2016
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