Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN J BEZACK, D.O.
Active Sole ProprietorDR. BRIAN J BEZACK, D.O. is a Pediatric Pulmonology healthcare provider located in COMMACK, New York. NPI 1407021850 is currently active in the NPPES registry. Verify at CMS.
Pediatric Pulmonology · COMMACK, NY
Registration Details
- NPI Number
- 1407021850
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2008 (18.323351590517 yrs)
- Last Updated
- Aug 8, 2016
- Licenses
-
251674 (NY)251674 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
66 COMMACK RDSUITE 100COMMACK, NY, 117253405Browse NY providers · Browse ZIP 11725
- Phone
- 6314991298
- Fax
- 6314991700
- Primary Specialty
-
Pediatric Pulmonology
2080P0214X
- Additional Specialty
- Pediatrics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.