Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 239819 | NY |
N | 2080P0204X | Pediatric Emergency Doctor | 239819 | NY |
NPI | 1245312826 |
---|---|
Provider Name | Dr. Kathryn Snyder |
First Address | New York, NY 10021-4298 |
Second Address | New York, NY 10021-4298 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 19/11/2014 |