Provider Demographics
NPI:1346714557
Name:ZAMBRZYCKI, BRIAN (MA, CAS)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:ZAMBRZYCKI
Suffix:
Gender:M
Credentials:MA, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 SOUTH BEDFORD ROAD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10506-0173
Mailing Address - Country:US
Mailing Address - Phone:914-241-6000
Mailing Address - Fax:
Practice Address - Street 1:632 SOUTH BEDFORD ROAD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NY
Practice Address - Zip Code:10506-0173
Practice Address - Country:US
Practice Address - Phone:914-241-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-22
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1412438103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool