Doctor Name: | EDWARD WILLIAM BEZKOR |
NPI Number: | 1326211822 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT, OCS, MTC |
License Number: | 0185021 |
Business Practice Address: | 9350 Campus Point Dr # Ll-d Suite 1 La Jolla, CA - 920371300 |
Business Phone Number: | 8586576879 |
Business Fax Number: | |
Mailing Address: | 9 Ridge Cir, MANHASSET |
State: | NY |
Postal Code: | 110302418 |
Phone Number: | 9176983578 |
Fax Number: | |
NPI Enumeration Date: | 04/07/2008 |
NPI Last Update Date: | 11/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0185021 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |