Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | F303410 | NY |
NPI | 1033212485 |
---|---|
Provider Name | Ms. Candra Lynn Snyder |
First Address | Rockville Centre, NY 11570 |
Second Address | Rockville Centre, NY 11570 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 02/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2371154 | UNITED HEALTHCARE (01) | NY |
4C9355 | PHS HEALTHNET (01) | NY |
P3398896 | OXFORD (01) | NY |
Q10529 | (02) |