Dr. Jeffrey Schneller
Primary Podiatric Medicine
4902 Queens Blvd
Woodside
, New York 11377-4444
Dr. Jeffrey Schneller
Primary Podiatric Medicine
4902 Queens Blvd
Woodside
, New York 11377-4444
(718) 706-0170
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Schneller
- 402 Middle Creek Rd
- Honesdale, PA
- Zip : 18431-7623
- Fax : (718) 706-0170
- Phone : (516) 398-9413
Second Address
- Dr. Jeffrey Schneller
- 4902 Queens Blvd
- Woodside, NY
- Zip : 11377-4444
- Fax : (718) 706-0170
- Phone : (718) 729-1952
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | NOO4139-1 | NY |
National Provider Identifier
| NPI | 1407828924 |
|---|---|
| Provider Name | Dr. Jeffrey Schneller |
| First Address | Honesdale, PA 18431-7623 |
| Second Address | Woodside, NY 11377-4444 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2006 |
| Last Update Date | 15/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00966610 | (05) | NY |
| T51342 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.