Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 023639 | CT |
N | 111NI0900X | Internist | 023639 | CT |
Y | 207RG0300X | Geriatric Medicine | 023639 | CT |
NPI | 1083697726 |
---|---|
Provider Name | Henry Schneiderman |
First Address | Hartford, CT 06105-1770 |
Second Address | Hartford, CT 06105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2005 |
Last Update Date | 04/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001236397 | (05) | CT |
B84413 | (02) |