Organization
BRIAN BEZACK DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BEZACK D.O. (PRESIDENT)
(631) 499-1298
Entity
Organization
Contact information
Practice address
6080 JERICHO TPKE, SUITE 318, COMMACK, NY 11725-2850
(631) 499-1298
(631) 486-6712
Mailing address
6080 JERICHO TPKE, SUITE 318, COMMACK, NY 11725-2850
(631) 499-1298
(631) 486-6712
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
215674
NY
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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