Bezdicek, Petr

Bezdicek, Petr is an individual health care provider with primary practice located at 70 Hatfield Ln Suite 101, Goshen NY 10924-6734. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Bezdicek, Petr can be contacted via phone (845) 294-8888.

Contact Information

Primary practice address
70 Hatfield Ln Suite 101 Goshen NY 10924-6734
Phone: (845) 294-8888
Fax: (845) 294-1669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 223433 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 223433 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 223433 New York

Profile Details

NPI number 1528047057
LBN Legal business name Bezdicek, Petr
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated May 2nd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528047057 NPPES
New York MEDICAID 02238360
New York Other 290014566

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