BRIAN BEZACK DO PLLC (NPI# 1427495068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427495068 |
| Entity Type | Organization |
| Organization Name | BRIAN BEZACK DO PLLC |
| Practice Address |
6080 Jericho Tpke Suite 318 Commack NY 11725-2850 |
| Practice Telephone | 6314991298 |
| Practice Fax Number | 6314866712 |
| Mailing Telephone | 6314991298 |
| Mailing Fax Number | 6314866712 |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |
| Authorized Official Name | BRIAN BEZACK (PRESIDENT) |
| Authorized Official Telephone | 6314991298 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
215674 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
6080 JERICHO TPKE SUITE 318 |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346239738 | Mitchell Robert Ezrin | Chiropractor | 6080 Jericho Tpke, Suite 206, Commack, NY 11725-2850 | 2005-10-18 |
| 1871132175 | Laura Santiago | Behavioral Analyst | 6080 Jericho Tpke, Commack, NY 11725-2850 | 2020-01-03 |
| 1235770728 | Camille Serrano | Behavior Technician | 6080 Jericho Tpke, Commack, NY 11725-2850 | 2019-10-04 |
| 1851957302 | Michael Read | Massage Therapist | 6080 Jericho Tpke, Commack, NY 11725-2850 | 2019-05-09 |
| 1063956241 | Lauren Dolce | Nurse Practitioner | 6080 Jericho Tpke, Suite 314, Commack, NY 11725-2850 | 2016-12-07 |
| 1518400159 | Karen S. Tukman, Lcsw, PC | Social Worker | 6080 Jericho Tpke, Suite 304, Commack, NY 11725-2850 | 2016-11-30 |
| 1851840540 | Janine D'amico | Nurse Practitioner | 6080 Jericho Tpke, Commack, NY 11725-2850 | 2016-09-23 |
| 1649653270 | Virginia Mchale | Nurse Practitioner | 6080 Jericho Tpke, Suite 314, Commack, NY 11725-2850 | 2015-07-01 |
| 1063810752 | Julie Haussmann | Social Worker | 6080 Jericho Tpke, Commack, NY 11725-2850 | 2014-12-11 |
| 1144631987 | Shakira Shanker | Psychiatry & Neurology | 6080 Jericho Tpke, Commack, NY 11725-2850 | 2014-05-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
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| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740657360 | Pediatric Pulmonary Medicine PC | Pediatrics | 90 Fulton Blvd, Commack, NY 11725-1711 | 2015-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003221375 | Nooralam Ahmad Rai | Pediatrics | 3959 Broadway # Chc701, New York, NY 10032-1559 | 2014-06-25 |
| 1316289812 | Daniel Aaron Krich | Pediatrics | 40 Sunshine Cottage Rd # 1n-e29, Valhalla, NY 10595-1524 | 2013-03-22 |
| 1497037279 | Arthur Deluca Md Pediatric Pulmonology of Long Island | Pediatrics | 3016 37th St, Third Floor, Astoria, NY 11103-3809 | 2011-09-16 |
| 1912224924 | Pelton Phinizy | Pediatrics | 3959 Broadway Ave., Pediatric Pulmonary Division 7th Floor, New York, NY 10032-3725 | 2010-04-29 |
| 1013153238 | Aisha Sultana Baig | Pediatrics | 750 East Adam St, Syracuse, NY 13210 | 2008-12-17 |
| 1639321847 | Marleine Ishak | Pediatrics | 3330 Bainbridge Ave, Montefiore Medical Center, Bronx, NY 10467-2800 | 2008-10-21 |
| 1629252291 | Katharina D. Graw-panzer | Pediatrics | 505 E 70th St Fl 3, New York, NY 10021 | 2007-12-19 |
| 1497969786 | Kristin Kelly-pieper | Pediatrics | 267-01 76th Avenue, Cohen Children's Medical Center, New Hyde Park, NY 11040 | 2007-05-09 |
| 1457574477 | Ikr Pediatric Allergy & Pulmonology PC | Pediatrics | 301 East 66th Street, New York, NY 10021 | 2007-04-10 |
| 1821117292 | Emilio Arteaga-solis | Pediatrics | 3959 Broadway # Chc-701, Columbia Uni Departmt Peds, New York, NY 10032-1559 | 2007-03-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.