MEDICARE: DR. EDUARD SHNAYDMAN D.O.

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	207Q00000X	Family Medicine Physician	008043	AZ
2	207Q00000X	Family Medicine Physician	222391	NY

General Provider Information

NPI Number	:	1912942624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDUARD SHNAYDMAN D.O.

Provider Business Mailing Address
First Line	:	809 KEARNY DR
Second Line	:
City	:	N WOODMERE
State	:	NY
Zip	:	11581-3626
Country	:	US
Telephone Number	:	516-791-0627
Fax Number	:	718-424-1954

Provider Business Practice Location Address
First Line	:	3457 82ND ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-2930
Country	:	US
Telephone Number	:	718-424-2457
Fax Number	:	718-424-1954

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

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	03/31/2022

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