Bezalel Wurzberger

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

163636 Issued in NY

Practice address

300 Wright Avenue
Marcy, NY 13404

Phone

(315) 736-8271

NPI assigned

Jun 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychological Associates of Northeastern New York PC

  dba Psychological Associates

  • Psychologist
  • Queensbury, NY
  • NPI 1831246792
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699977280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RUSFIELD DR",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120773234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WRIGHT AVENUE",
            "city": "MARCY",
            "state": "NY",
            "postal_code": "13404",
            "telephone_number": "315-736-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURZBERGER",
        "first_name": "BEZALEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "163636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163636",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Ann Tourtelot, NP
• Jason W Trinkaus, PT
• Upstate Cerebral Palsy
• Diane Vore, PHYSICAL THERAPIST A
• Cayla Wright
• Matthew Thomas Zuchowski, PHARM D

• Psychiatry Physician in Marcy, NY
• Providers in Marcy, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.