Provider Demographics
NPI:1548407224
Name:BEZALEL, BARBARA JOY (PT, MED)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:JOY
Last Name:BEZALEL
Suffix:
Gender:F
Credentials:PT, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1178 FROCAN CT
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-2407
Mailing Address - Country:US
Mailing Address - Phone:516-569-6146
Mailing Address - Fax:516-569-1795
Practice Address - Street 1:1178 FROCAN CT
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-2407
Practice Address - Country:US
Practice Address - Phone:516-569-6146
Practice Address - Fax:516-569-1795
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0-4070-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics