Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 173652 | NY |
NPI | 1083682769 |
---|---|
Provider Name | Dr. Steven Jack Schneider |
First Address | New Hyde Park, NY 11042-1101 |
Second Address | New Hyde Park, NY 11042-1101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 13/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01137604 | (05) | NY |
B88084 | (02) | NY |