MEDICARE: MRS. CHANA BARZESKY MSED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency	1742367231	NY
2	252Y00000X	Early Intervention Provider Agency	1742362231	NY

General Provider Information

NPI Number	:	1952170540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHANA BARZESKY MSED

Provider Business Mailing Address
First Line	:	5016 12TH AVE APT 29
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3457
Country	:	US
Telephone Number	:	646-321-1342
Fax Number	:

Provider Business Practice Location Address
First Line	:	5801 15TH AVE # 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-4706
Country	:	US
Telephone Number	:	646-321-1342
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/25/2023
Last Update Date	:	12/25/2023

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