Provider Demographics
NPI:1952170540
Name:BARZESKY, CHANA (MSED)
Entity Type:Individual
Prefix:MRS
First Name:CHANA
Middle Name:
Last Name:BARZESKY
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5016 12TH AVE APT 29
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-3457
Mailing Address - Country:US
Mailing Address - Phone:646-321-1342
Mailing Address - Fax:
Practice Address - Street 1:5801 15TH AVE # 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-4706
Practice Address - Country:US
Practice Address - Phone:646-321-1342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-25
Last Update Date:2023-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1742367231252Y00000X
NY1742362231252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency