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NPI Code Detail

MEDICARE: DR. LOIS GAIL SAZER PH.D.

MEDICARE: DR. LOIS GAIL SAZER PH.D.
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
1103T00000XPsychologist010249NY

General Provider Information

NPI Number : 1316215098
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOIS GAIL SAZER PH.D.
Provider Business Mailing Address
First Line : 52 CAMPUS DR
Second Line :
City : PORT WASHINGTON
State : NY
Zip : 11050-3719
Country : US
Telephone Number : 516-767-5544
Fax Number : 516-767-5546
Provider Business Practice Location Address
First Line : 52 CAMPUS DR
Second Line :
City : PORT WASHINGTON
State : NY
Zip : 11050-3719
Country : US
Telephone Number : 516-767-5544
Fax Number : 516-767-5546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2011
Last Update Date : 12/08/2011

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