Provider Demographics
NPI:1316215098
Name:SAZER, LOIS GAIL (PHD)
Entity Type:Individual
Prefix:DR
First Name:LOIS
Middle Name:GAIL
Last Name:SAZER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-3719
Mailing Address - Country:US
Mailing Address - Phone:516-767-5544
Mailing Address - Fax:516-767-5546
Practice Address - Street 1:52 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-3719
Practice Address - Country:US
Practice Address - Phone:516-767-5544
Practice Address - Fax:516-767-5546
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010249103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist