Provider Demographics
NPI:1053418061
Name:CZEISLER, BARBARA LOIS (DPM)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:LOIS
Last Name:CZEISLER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-3009
Mailing Address - Country:US
Mailing Address - Phone:631-864-3338
Mailing Address - Fax:631-864-8166
Practice Address - Street 1:54 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-3009
Practice Address - Country:US
Practice Address - Phone:631-864-3338
Practice Address - Fax:631-864-8166
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003917213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP42831Medicare ID - Type Unspecified
NYT31736Medicare UPIN