Provider Demographics
NPI:1477758225
Name:ZIERLER, BERNICE CHERYL (PA)
Entity Type:Individual
Prefix:MS
First Name:BERNICE
Middle Name:CHERYL
Last Name:ZIERLER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MS
Other - First Name:BERNI
Other - Middle Name:CHERYL
Other - Last Name:ZIERLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA
Mailing Address - Street 1:145 CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4629
Mailing Address - Country:US
Mailing Address - Phone:201-357-5684
Mailing Address - Fax:
Practice Address - Street 1:145 CHERRY LN
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4629
Practice Address - Country:US
Practice Address - Phone:201-357-5684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002753-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant