Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 145968 | NY |
NPI | 1144387317 |
---|---|
Provider Name | Leila Schneitzer |
First Address | Port Washington, NY 11050-7470 |
Second Address | Roslyn, NY 11576-1353 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 02/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01170887 | (05) | NY |
E87236 | (02) | NY |