MEDICARE: DR. NANCY JEAN SCHNUR DDS

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	1223G0001X	General Practice Dentistry	38360	NY

General Provider Information

NPI Number	:	1316035884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY JEAN SCHNUR DDS

Provider Business Mailing Address
First Line	:	55 SYCAMORE RD
Second Line	:
City	:	SCARSDALE
State	:	NY
Zip	:	10583-7328
Country	:	US
Telephone Number	:	914-723-5159
Fax Number	:	914-723-1587

Provider Business Practice Location Address
First Line	:	275 MADISON AVE
Second Line	:	SUITE 1318
City	:	NEW YORK
State	:	NY
Zip	:	10016-1101
Country	:	US
Telephone Number	:	212-972-6340
Fax Number	:	212-972-0512

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	07/08/2007

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