Lisa Simonetta Snyder
Family Doctor - Adult Medicine
134 Homer Ave
Cortland
, New York 13045-1206
Lisa Simonetta Snyder
Family Doctor - Adult Medicine
134 Homer Ave
Cortland
, New York 13045-1206
(607) 428-5142
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Lisa Simonetta Snyder
- 134 Homer Ave Po Box 628
- Cortland, NY
- Zip : 13045-1206
- Fax : (607) 428-5142
- Phone : (607) 756-3561
Second Address
- Lisa Simonetta Snyder
- 134 Homer Ave
- Cortland, NY
- Zip : 13045-1206
- Fax : (607) 428-5142
- Phone : (607) 756-3561
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | F3322590 | NY |
National Provider Identifier
| NPI | 1265423743 |
|---|---|
| Provider Name | Lisa Simonetta Snyder |
| First Address | Cortland, NY 13045-1206 |
| Second Address | Cortland, NY 13045-1206 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2005 |
| Last Update Date | 11/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02057216 | (05) | NY |
| S95747 | (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.