Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 005349-1 | NY |
N | 2251P0200X | Physical Therapist - Pediatrics | 005349-1 | NY |
NPI | 1134260730 |
---|---|
Provider Name | Mrs. Laurie Schneider |
First Address | Commack, NY 11725-1506 |
Second Address | Commack, NY 11725-1506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2007 |
Last Update Date | 08/07/2007 |