Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD460389 | PA |
NPI | 1043509037 |
---|---|
Provider Name | Yecheskel Schneider |
First Address | Fountain Hill, PA 18015-1152 |
Second Address | Fountain Hill, PA 18015-1152 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2011 |
Last Update Date | 06/03/2019 |