Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 84085 | NY |
NPI | 1255329462 |
---|---|
Provider Name | Richard Davis Snyder |
First Address | Brooklyn, NY 11235-2941 |
Second Address | Brooklyn, NY 11235-2941 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A61138 | (02) |