Healthcare Provider Details

I. General information

NPI: 1609970854
Provider Name (Legal Business Name): DAVID SCOTT SCHNAPP MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2006
Last Update Date: 10/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

192 GENESEE ST
AUBURN NY
13021-3361
US

IV. Provider business mailing address

100 METROPOLITAN PARK DR. SUITE 100
LIVERPOOL NY
13088-5842
US

V. Phone/Fax

Practice location:
  • Phone: 315-258-5253
  • Fax: 315-258-0202
Mailing address:
  • Phone: 215-870-9370
  • Fax: 315-870-9364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number1924291
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: