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Contact Information

BRIAN J BEZACK, DO
66 COMMACK RD
SUITE 100
COMMACK, NY11725-3405
 Phone: 631-499-1298
 Fax: 631-499-1700
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BRIAN J BEZACK · (Male)

NPI # 1407021850
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/28/2008
Last updated 08/08/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 251674
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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