Healthcare Provider Details

I. General information

NPI: 1881185015
Provider Name (Legal Business Name): BYRON CZERNISKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2018
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CARES DR
RENO NV
89512-3737
US

IV. Provider business mailing address

300 CARES DR
RENO NV
89512-3737
US

V. Phone/Fax

Practice location:
  • Phone: 775-446-9017
  • Fax: 775-525-2426
Mailing address:
  • Phone: 775-446-9017
  • Fax: 775-525-2426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number22670
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: