Provider Demographics
NPI:1437592946
Name:BIELORY, BRETT (MD)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:
Last Name:BIELORY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:100 WOODS RD
Mailing Address - Street 2:MACY PAVILION ROOM 1044
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1530
Mailing Address - Country:US
Mailing Address - Phone:914-493-7671
Mailing Address - Fax:
Practice Address - Street 1:201 17 NORTH
Practice Address - Street 2:SUITE 1202
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070
Practice Address - Country:US
Practice Address - Phone:551-257-7001
Practice Address - Fax:551-257-7002
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09617200207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABB3232267556OtherBB3232267556