MEDICARE: DR. RAYMOND K SCHNEIDER PH.D.

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	103TC0700X	Clinical Psychologist	007424-0	NY

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	:	1588657225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAYMOND K SCHNEIDER PH.D.

Provider Business Mailing Address
First Line	:	5530 NETHERLAND AVE
Second Line	:	APT. 1 B
City	:	BRONX
State	:	NY
Zip	:	10471-2361
Country	:	US
Telephone Number	:	781-796-4788
Fax Number	:	718-796-4788

Provider Business Practice Location Address
First Line	:	5530 NETHERLAND AVE
Second Line	:	APT. 1 B
City	:	BRONX
State	:	NY
Zip	:	10471-2361
Country	:	US
Telephone Number	:	781-796-4788
Fax Number	:	718-796-4788

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

Provider Enumeration Date	:	08/29/2005
Last Update Date	:	07/08/2007

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