MEDICARE: HENRY SCHNEIDERMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	023639	CT
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	023639	CT
3	207ZP0101X	Anatomic Pathology Physician	023639	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083697726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HENRY SCHNEIDERMAN MD

Provider Business Mailing Address
First Line	:	1000 ASYLUM AVE
Second Line	:	SUITE 2112/SAINT FRANCIS MEDICAL GROUP, INC.
City	:	HARTFORD
State	:	CT
Zip	:	06105-1770
Country	:	US
Telephone Number	:	860-714-4749
Fax Number	:	860-714-8439

Provider Business Practice Location Address
First Line	:	1000 ASYLUM AVENUE SUITE 2112
Second Line	:	SAINT FRANCIS MEDICAL GROUP, INC
City	:	HARTFORD
State	:	CT
Zip	:	06105
Country	:	US
Telephone Number	:	860-714-4749
Fax Number	:	860-714-8439

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2005
Last Update Date	:	04/04/2014

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