Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 142613 | NY |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | ME129231 | FL |
NPI | 1427016500 |
---|---|
Provider Name | Dr. Gary M Snyder |
First Address | Bayside, NY 11361-2056 |
Second Address | Bayside, NY 11361-2056 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 09/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B80499 | (02) |