Healthcare Provider Details

I. General information

NPI: 1386865616
Provider Name (Legal Business Name): CARISA SCHNEIDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 03/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 PELHAM PKWY S PEDIATRIC EMERGENCY ROOM OFFICE
BRONX NY
10461-1138
US

IV. Provider business mailing address

300 E 33RD ST APT 3B
NEW YORK NY
10016-9404
US

V. Phone/Fax

Practice location:
  • Phone: 718-918-5826
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number243294
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: