Provider Demographics
NPI:1942293626
Name:CASLER, LISA A (NP)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:A
Last Name:CASLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 HARTFORD TER
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-2308
Mailing Address - Country:US
Mailing Address - Phone:607-434-8409
Mailing Address - Fax:315-738-4450
Practice Address - Street 1:1400 NOYES ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-3854
Practice Address - Country:US
Practice Address - Phone:315-738-3800
Practice Address - Fax:315-738-4450
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY510913163WP0808X
NY400610363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYDD0322Medicare PIN
NYP25671Medicare UPIN