Healthcare Provider Details

I. General information

NPI: 1851335707
Provider Name (Legal Business Name): STEVEN ROBERT SCHNEIDER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1865 211TH ST 5G
BAYSIDE NY
11360-1848
US

IV. Provider business mailing address

1865 211TH ST 5G
BAYSIDE NY
11360-1848
US

V. Phone/Fax

Practice location:
  • Phone: 917-731-3834
  • Fax:
Mailing address:
  • Phone: 917-731-3834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberX2689
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: