Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 006497 | NY |
NPI | 1003106444 |
---|---|
Provider Name | Dr. Jason Charles Snyder |
First Address | New York, NY 10041-0004 |
Second Address | New York, NY 10027-4426 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2011 |
Last Update Date | 30/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03539200 | (05) | NY |