Provider Demographics
NPI:1922031285
Name:CSIR, FLOYD M (MD)
Entity Type:Individual
Prefix:
First Name:FLOYD
Middle Name:M
Last Name:CSIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:311 WEST 24TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16502-2665
Mailing Address - Country:US
Mailing Address - Phone:814-452-4214
Mailing Address - Fax:814-461-8424
Practice Address - Street 1:311 WEST 24TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16502-2665
Practice Address - Country:US
Practice Address - Phone:814-452-4214
Practice Address - Fax:814-461-8424
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD017558E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0067024Medicaid
PA0067024Medicaid
B35046Medicare UPIN