Provider Demographics
NPI:1063690923
Name:ZEIER, CRAIG M (PT, DPT, MS)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:M
Last Name:ZEIER
Suffix:
Gender:M
Credentials:PT, DPT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HOSPITAL RD STE 112
Mailing Address - Street 2:
Mailing Address - City:EAST PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-8811
Mailing Address - Country:US
Mailing Address - Phone:631-456-5512
Mailing Address - Fax:631-456-5514
Practice Address - Street 1:100 HOSPITAL RD STE 112
Practice Address - Street 2:
Practice Address - City:EAST PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-8811
Practice Address - Country:US
Practice Address - Phone:631-456-5512
Practice Address - Fax:631-456-5514
Is Sole Proprietor?:No
Enumeration Date:2008-02-03
Last Update Date:2008-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027432-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist